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Edler による心臓病診断に超音波を用いた初報告以来、超音波心臓診断法 (心エコー法) は現在、循環器疾患の部門でも広く活用され今もなお進歩を続けている。本稿では、心エコーによる実験例を中心に心臓病の各種の疾患を供覧する。それらの症例は、主に、Mモードや断層心エコー法による・拡張型心筋症・感染性心内膜炎・原発性肺高血圧症・急性心筋梗塞症による心室中隔穿孔・心尖部肥大型心筋症であり、剖検所見と対比した。また主に、カラードップラーによる・心房中隔欠損症・僧帽弁腱索断裂のよる僧帽弁逆流症・マルファン症候群による大動脈弁閉鎖不全症を図説した。カラードップラーは逆流血液や短絡血流を実時間で表示可能なので臨床的に明らかに有用である。心エコー法は解剖学的のみならず血行動態的情報も提供してくれるユニークな診断法であり、今後もますます、広範囲に利用されるであろう。\n", "subitem_description_type": "Abstract"}, {"subitem_description": "Since the initial report of the use of ultrasound for diagnosis of heart, conditions echocardiography has been continuously developed and is now widely accepted in the cardiac field. During the second half of the century, echocardiography began with the M-mode echo. and has recently advanced to real-time, three-dimensional echocardiography. In this paper, various kinds of cardiac diseases were shown at different stages of the echo development. For example, a patient with dilated cardiomyopathy is shown in the M-mode echocardiogram. Two-dimensional echocardiograms (2-D echo) has shown 70 aged patient with infective endocarditis, a female patient with primary pulmonary hypertension case, a female case of perforation of the interventricular septum complicated with acute myocardial infarction revealed by autopsy, and a male patient with apical hypertrophy type of hyper-trophic cardiomyopathy. The cases described were compared with 2-D echo and autopsy findings respectively. Three cases of heart disease presented and were diagnosed by real-time Color Doppler imaging. These cases were a patient with an atrial septal defect, a patient with mitral regurgitation due to chordal rupture of the posterior mitral valve and a patient with severe aortic regurgitation due to Marfan\u0027s syndrome. Color Doppler imaging gave us not only anatomical but also hemodynamic information. That is, we could obtain the shunt-flow and/or regurgitant flow clearly using Color Doppler method. 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超音波心臓診断法
https://nsg.repo.nii.ac.jp/records/3414
https://nsg.repo.nii.ac.jp/records/34144d92c3a9-9c33-4b7d-95b3-8655498a8f6d
名前 / ファイル | ライセンス | アクション |
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KJ00004183529.pdf (1.4 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-03-05 | |||||
タイトル | ||||||
タイトル | 超音波心臓診断法 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Echocardiography | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心エコー図法 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 実時間断層心エコー | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | カラードップラーエコー | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 実時間3次元断層心エコー | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | コントラストエコーカディオグラフィー | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ultrasound | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | echocardiography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | real-time 2-D echo | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | color doppler echo | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | real-time 3-D echo | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | contrast echocardiography | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
Title in Japanese | ||||||
超音波心臓診断法 | ||||||
タイトル(英) | ||||||
en | ||||||
Echocardiography | ||||||
著者 |
朱, 敏秀
× 朱, 敏秀× Shu, Toshihide |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | ちょうど、50年前、I. Edler による心臓病診断に超音波を用いた初報告以来、超音波心臓診断法 (心エコー法) は現在、循環器疾患の部門でも広く活用され今もなお進歩を続けている。本稿では、心エコーによる実験例を中心に心臓病の各種の疾患を供覧する。それらの症例は、主に、Mモードや断層心エコー法による・拡張型心筋症・感染性心内膜炎・原発性肺高血圧症・急性心筋梗塞症による心室中隔穿孔・心尖部肥大型心筋症であり、剖検所見と対比した。また主に、カラードップラーによる・心房中隔欠損症・僧帽弁腱索断裂のよる僧帽弁逆流症・マルファン症候群による大動脈弁閉鎖不全症を図説した。カラードップラーは逆流血液や短絡血流を実時間で表示可能なので臨床的に明らかに有用である。心エコー法は解剖学的のみならず血行動態的情報も提供してくれるユニークな診断法であり、今後もますます、広範囲に利用されるであろう。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Since the initial report of the use of ultrasound for diagnosis of heart, conditions echocardiography has been continuously developed and is now widely accepted in the cardiac field. During the second half of the century, echocardiography began with the M-mode echo. and has recently advanced to real-time, three-dimensional echocardiography. In this paper, various kinds of cardiac diseases were shown at different stages of the echo development. For example, a patient with dilated cardiomyopathy is shown in the M-mode echocardiogram. Two-dimensional echocardiograms (2-D echo) has shown 70 aged patient with infective endocarditis, a female patient with primary pulmonary hypertension case, a female case of perforation of the interventricular septum complicated with acute myocardial infarction revealed by autopsy, and a male patient with apical hypertrophy type of hyper-trophic cardiomyopathy. The cases described were compared with 2-D echo and autopsy findings respectively. Three cases of heart disease presented and were diagnosed by real-time Color Doppler imaging. These cases were a patient with an atrial septal defect, a patient with mitral regurgitation due to chordal rupture of the posterior mitral valve and a patient with severe aortic regurgitation due to Marfan's syndrome. Color Doppler imaging gave us not only anatomical but also hemodynamic information. That is, we could obtain the shunt-flow and/or regurgitant flow clearly using Color Doppler method. Doppler echocardiography will also assume a prominent role in the echocardiographic exmination. As this particular application develops, I would anticipate an instrument which has the capability of doing M-mode, cross-sectional and Doppler examinations. The relationship between the various echocardiographic examinations might be analogous to the pressure measurements, blood flow determinations, and angiographic studies which are all part of a cardiac catheterization. Finally, two new modalities of the myocardial image enhancement by contrast medium, that is Levobist and real-time, 3-dimensional echocardiography (3-D echo) have recentlly been introduced. Echocardiography is now an established and important diagnostic tool in clinical cardiology. It is also becoming increasingly important for clinical investigation however this method alone is not a replacement for other clinical tests. Althought many problems and limitations still remain unsolved, the future of echocardiography is assured. When one considers how effectively bats and dolphins use ultrasound to visualize their environment, one can appreciate that we have a long way to go in developing the full potential of echocardiography. | |||||
書誌情報 |
新潟医療福祉学会誌 巻 4, 号 1, p. 103-111, 発行日 2004-11 |
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出版者 | ||||||
出版者 | 新潟医療福祉学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1346-8774 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11614531 | |||||
権利 | ||||||
権利情報 | 本文データは国立情報学研究所により電子化されたものである | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | 論文(Article) | |||||
資源タイプ・NII | ||||||
Journal Article | ||||||
資源タイプ・DCMI | ||||||
text |