中华皮肤科杂志 ›› 1991, Vol. 24 ›› Issue (5): 294-297.

• 论著 • 上一篇    下一篇

结缔组织病患者出现雷诺现象时的心脏变化

李明1, 施守义1, 刘永昌2   

  1. 1. 上海医科大学华山医院皮肤病教研室 200040;
    2. 上海医科大学华山医院核医学教研室 200040
  • 收稿日期:1990-04-21 修回日期:1990-06-25 出版日期:1991-10-15 发布日期:1991-10-15

Sudy of Cardiac Rayssaud’s Phmoasenon in Patients with Connective Tissue Disease

LI Ming1, SHI Shou-Yi1   

  1. Hua Shan Hospital Shanghai Medical University
  • Received:1990-04-21 Revised:1990-06-25 Online:1991-10-15 Published:1991-10-15

摘要: 用单光子CT201铊心肌显像和超声心动图,对11例结缔组织病(CTD)患者冷刺激后的心肌血流灌注和心功能进行了研究.雷诺现象(RP)组6例,冷刺激诱发RP时,5例有大小不一、程度不等、单发或多发的心肌缺血区.3-4小时后,有3例(PSS.MCTD.UCTD各1例)的缺血区完全消失,2例(SLE.UCTD各1例)部分消失.RP发生时,上述5例均有节段性左心室壁运动减弱,部位多与缺血区一致.无RP的对照组5例未见心肌缺血改变.结果表明.在手部发生RP时,心脏也可发生RP.

Abstract: The myocardial perfusion and function after cold stress were studied in 11 patients with connectiae tissue disease by SPECT thallium-201 scintigraphy and UCG.At the onset of cold-induced Raynaud's phenomenon (RP),5 of 6 patients in RP group had single or multiple regions of myocardial ischemia,fatal or patchy,and varied in degree.