论文部分内容阅读
对90例心脏病患者进行心内膜心肌活检(EMB)95例次,成功率96.8%,临床诊断原因不明心律失常44例,各型心肌病24例,疑诊心肌炎10例,先心并心律失常4例,缩窄性心包炎5例,二尖瓣脱垂3例,经光、电镜检查确定诊断72例(80%)。其中心肌炎44例,扩张型心肌病19例、肥厚型1例,限制型4例,炎性心肌病4例。排除诊断3例(3.4%),无助于诊断15例(16.6%)。全组均无严重并发症,作者认为EMB对心肌疾病(尤其对心内膜心肌纤维化病)及心肌炎有较大诊断价值的新技术,值得推广。
95 cases of endocardial myocardial biopsy (EMB) were performed in 90 patients with heart disease, with a success rate of 96.8%, 44 cases of unknown arrhythmia in clinical diagnosis, 24 cases of various types of cardiomyopathy, 10 cases of suspected myocarditis, 4 cases of abnormalities, 5 cases of constrictive pericarditis and 3 cases of mitral valve prolapse. 72 cases (80%) were diagnosed by light and electron microscopy. Among them, 44 were myocarditis, 19 were dilated cardiomyopathy, 1 was hypertrophic, 4 were restricted and 4 were inflammatory cardiomyopathy. Exclusion of diagnosis in 3 cases (3.4%), did not help in the diagnosis of 15 cases (16.6%). The whole group had no serious complications. The author believes that the new technology of EMB that has great diagnostic value for myocardial diseases (especially endocardial myocardial fibrosis) and myocarditis is worth promoting.