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目的分析心脏结节病的临床特点。方法回顾分析我院1998-2008年确诊的心脏结节病患者的临床资料,对其临床特点进行分析。结果心脏结节病患者35例。心脏受累的表现主要有心律失常,心包积液,瓣膜病,肺动脉高压,心功能不全,心电图肢导低电压,病理性Q波伴节段性室壁运动异常等。早期激素治疗效果满意,2例患者安装起搏器。结论心脏结节病患者表现多样,最主要的临床表现为心律失常,早期使用激素治疗患者预后较好,部分心律失常患者需要安装起搏器。
Objective To analyze the clinical features of cardiac sarcoidosis. Methods The clinical data of patients with cardiac sarcoidosis diagnosed in our hospital from 1998 to 2008 were retrospectively analyzed, and their clinical features were analyzed. Results 35 cases of cardiac sarcoidosis patients. The main manifestations of cardiac involvement are arrhythmia, pericardial effusion, valvular disease, pulmonary hypertension, cardiac insufficiency, ECG low limb lead voltage, pathological Q wave with segmental wall motion abnormalities. Early hormone treatment satisfactory results, 2 patients with pacemaker. Conclusion The performance of patients with cardiac sarcoidosis varied, the main clinical manifestations of arrhythmia, early prognosis of patients with hormone therapy is better, some patients with arrhythmia need to install pacemaker.