胸部恶性肿瘤患者放射性心脏损伤特征及超声心动图评估价值

doi:10.3969/j.issn.1004-583X.2022.04.017

摘要/Abstract

摘要：

在胸部恶性肿瘤放射治疗过程中心脏会受到一定剂量的照射,导致放射性心脏损伤( radiation induced heart disease,RIHD)。RIHD的产生与内皮细胞受损、花生四烯酸样物质增多等因素相关。常见损伤部位包括冠状动脉、瓣膜、心肌、心包等。既往使用常规超声心动图检测左室射血分数、二尖瓣舒张早期与晚期血流速度比(E/A)以评价左心功能。而二维斑点追踪、三维斑点追踪、实时三维超声心动图、超声造影、负荷超声心动图等新技术的敏感性高于常规超声,有利于发现早期亚临床心脏损伤,提示临床及时调整放疗方案,提高患者远期生存率。

中图分类号:

R654.2

赵子琪, 白璐, 韩若凌. 胸部恶性肿瘤患者放射性心脏损伤特征及超声心动图评估价值[J]. 临床荟萃, 2022, 37(4): 373-378.

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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2022.04.017

https://huicui.hebmu.edu.cn/CN/Y2022/V37/I4/373

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胸部恶性肿瘤患者放射性心脏损伤特征及超声心动图评估价值

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