【摘要】 目的 了解老年性退行性心瓣膜病的临床特点。 方法 对超声心动图(简称扇超)检出的178例病人的临床症状、扇超表现、心功能及心律失常情况进行了回顾性分析。结果 老年性退行性心瓣膜病80岁以上检出率(61.95%)，主动脉根部钙化发生率(97.19%)，主动脉瓣钙化发生率(66.29%)，房性心律失常占75.48%。结论 老年性退行性心瓣膜病随年龄增长而增加，最常见部位为主动脉根部和主动脉瓣，心功能改变与合并高血压、冠心病等有关。心律失常以房性心律失常及房室传导阻滞为主。

    【关键词】 退行性心瓣膜病；超声心动图；老年

    Clinic analysis of degenerative calcific valvular disease in 178 cases

    SHI Nian-wei, WU Yi-ying, WU Han, et al.

    Department of Geriatrics, Shanghai First People’s Hospital, Shanghai 200080, China

    【Abstract】 Objective To learn the characters of degenerative calcific valvular disease in elderly. Methods From 1995 to 2003, 446 elderly patients in hospital were examined by echocardiography to find the degenerative calcific valvular disease(CAD). Retrospective study the clinic symptoms,characteristic in echocardiography,cardiac function and arrhythmia in patients with CAD.Results There were 178 patients with CDA in total. The incidence of CAD in group eighties was higher than the other two groups (61.95%). The calcification of aortic root and valvular was 97.19% and 66.29%. Atrial arrhythmia was 75.48%. Conclusion The degenerative calcific valvular disease is increasing with ageing. ......