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动脉导管未闭杂音的间歇性消失:1例报告并文献复习

Intermittent disappearance of a patent ductus arteriosus murmur: report of a case and review of the literature.

作者信息

Cokkinos D V, Leachman R D, Lufschanowski R

机构信息

Department of Cardiology. St. Luke's Episcopal Hospital, Houston, Texas 77225, USA.

出版信息

Tex Heart Inst J. 1982 Mar;9(1):57-60.

Abstract

A 10-year-old girl with a diagnosis of patent ductus arteriosus from the time of birth was noted to have disappearance of her typical continuous murmur on two separate, well-documented occasions. Cardiac catheterization showed a small patent ductus arteriosus with a pulmonic/systemic flow ratio of 1.3:1. Conservative treatment was advised. Twelve other cases of intermittent disappearance of the murmur of a patent ductus arteriosus were found in the literature.

摘要

一名自出生起就被诊断为动脉导管未闭的10岁女孩,在两个不同的、记录充分的情况下,其典型的连续性杂音消失。心导管检查显示动脉导管未闭较小,肺循环/体循环血流量比值为1.3:1。建议采取保守治疗。文献中还发现了另外12例动脉导管未闭杂音间歇性消失的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97ff/341473/532be1cd66f3/thij00012-0061-a.jpg

本文引用的文献

1
Spontaneously disappearing murmur of patent ductus arteriosus. A case report.
Circulation. 1961 Nov;24:1235-8. doi: 10.1161/01.cir.24.5.1235.
2
Intermittent disappearance of the murmur of patent ductus arteriosus.
Circulation. 1960 Aug;22:226-31. doi: 10.1161/01.cir.22.2.226.
4
The ductus arteriosus in the neonatal period.
J Pediatr. 1957 Jul;51(1):12-7. doi: 10.1016/s0022-3476(57)80275-3.
5
Persistent reactivity of patent ductus with a review of the mechanism of spontaneous closure.
Am J Dis Child. 1981 May;135(5):472-3. doi: 10.1001/archpedi.1981.02130290068022.
7
Natural history of persistent ductus arteriosus.
Br Heart J. 1968 Jan;30(1):4-13. doi: 10.1136/hrt.30.1.4.
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Innervation and contractile response of the human ductus arteriosus.
Eur J Pharmacol. 1970 Jul 15;11(2):178-86. doi: 10.1016/0014-2999(70)90047-6.

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