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中华医学超声杂志(电子版) ›› 2019, Vol. 16 ›› Issue (10) : 723 -726. doi: 10.3877/cma.j.issn.1672-6448.2019.10.002

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腺苷负荷心肌声学造影的临床应用
吴爵非1,(), 吕创业1, 唐颖1, 张建琴1   
  1. 1. 510515 广州,南方医科大学附属南方医院心血管内科
  • 收稿日期:2019-07-11 出版日期:2019-10-01
  • 通信作者: 吴爵非

Clinical application of adenosine-loaded myocardial contrast echocardiography

Juefei Wu1(), Changye Lv1, Ying Tang1   

  • Received:2019-07-11 Published:2019-10-01
  • Corresponding author: Juefei Wu
引用本文:

吴爵非, 吕创业, 唐颖, 张建琴. 腺苷负荷心肌声学造影的临床应用[J]. 中华医学超声杂志(电子版), 2019, 16(10): 723-726.

Juefei Wu, Changye Lv, Ying Tang. Clinical application of adenosine-loaded myocardial contrast echocardiography[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(10): 723-726.

图1 腺苷"窃血效应"模式图
图2 患者,男性,51岁,因"冠状动脉支架植入术后4年余,胸痛半月余"住院治疗。图a为腺苷负荷心肌声学造影药物负荷前提示左心室侧壁心肌灌注减低;图b为腺苷负荷心肌声学造影药物负荷后提示左心室侧壁心肌灌注缺损(箭头所示);图c为冠状动脉造影提示左回旋支近远段交界处弥漫病变狭窄(箭头所示)
图3 患者,女性,51岁,因"胸痛2年余,再发并加重1周"住院治疗。图a为腺苷负荷心肌声学造影药物负荷前提示左心室侧壁心肌灌注尚可;图b为腺苷负荷心肌声学造影药物负荷后提示心肌灌注稀疏;图c为冠状动脉造影未见异常,提示患者存在微循环灌注异常,冠状动脉储备下降
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