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序贯心腔定位——先天性心脏病诊断的逻辑方法

Sequential chamber localization--logical approach to diagnosis in congenital heart disease.

作者信息

Shinebourne E A, Macartney F J, Anderson R H

出版信息

Br Heart J. 1976 Apr;38(4):327-40. doi: 10.1136/hrt.38.4.327.

DOI:10.1136/hrt.38.4.327
PMID:1267978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482999/
Abstract

A nomenclature is described for congenital heart disease employing sequential chamber localization. It is an eclectic system based in part upon the previous classifications of Van Praagh and Kirklin. It links together the atrial, ventricular, and arterial segments of the heart and then permits tabulation of associated anomalies. The atrial segment of the heart can exist as situs solitus, situs inversus, or situs ambiguus. Atrioventricular connexions can be concordant or discordant. In certain circumstances the terms concordant and discordant cannot be used. These are in the presence of primitive ventricle and in the presence of situs ambiguus. Alternative terms are described for these contingencies. Ventriculo-arterial connexions can be (a) normal; (b) transposition; (c) double outlet ventricle; or (d) single arterial trunk. These are defined as connexions; relations are relegated to secondary position. Associated anomalies are categorized in terms of venous return, atria, atrioventricular junction, ventricles, and great arteries. Controversial topics are discussed with regard to previous definitions.

摘要

描述了一种采用连续腔室定位法的先天性心脏病命名法。它是一种折衷的系统,部分基于范普拉赫和柯克林以前的分类方法。它将心脏的心房、心室和动脉段联系在一起,然后允许对相关异常进行列表。心脏的心房段可以表现为正位、反位或不定位。房室连接可以是一致的或不一致的。在某些情况下,不能使用一致和不一致这两个术语。这些情况是存在原始心室和存在不定位时。针对这些情况描述了替代术语。心室-动脉连接可以是:(a)正常;(b)转位;(c)双出口心室;或(d)单一动脉干。这些被定义为连接;关系则处于次要地位。相关异常根据静脉回流、心房、房室交界处、心室和大动脉进行分类。针对以前的定义讨论了有争议的话题。

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Sequential chamber localization--logical approach to diagnosis in congenital heart disease.序贯心腔定位——先天性心脏病诊断的逻辑方法
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