Chen S
Xin Hua Hospital, Shanghai Second Medical University.
Zhonghua Xin Xue Guan Bing Za Zhi. 1992 Jun;20(3):169-70, 196.
Forty-nine patients with atrial isomerism (right atrial isomerism 27, left atrial isomerism 22) diagnosed by 2DE of the abdominal great vessels were reported in this paper. Compared with the results of high kilovolt filtered chest film and autopsy, atrial situs determined by 2DE was concordant with bronchial morphology in 43 patients, 25 (93%) of right atrial isomerism, 18 (82%) of left isomerism. 25 patients who had angiocardiography or autopsy were associated with other cardiac malformations which were severe and complicated in right atrial isomerism. The results of this series showed that ultrasonography of the abdominal great vessels could be a reliable guide to the diagnosis of atrial isomerism, 2DE diagnosis is useful for angiocardiography.
本文报道了49例经腹部大血管二维超声心动图（2DE）诊断为心房异构（右心房异构27例，左心房异构22例）的患者。与高千伏滤线胸片及尸检结果相比，2DE确定的心房位置与支气管形态在43例患者中一致，其中右心房异构25例（93%），左心房异构18例（82%）。25例行心血管造影或尸检的患者伴有其他心脏畸形，右心房异构患者的心脏畸形严重且复杂。本系列研究结果表明，腹部大血管超声检查可为心房异构的诊断提供可靠指导，2DE诊断对心血管造影有帮助。
