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一名表现为疲劳的幼儿园儿童患完全性肺静脉异位引流。

TAPVR in a kindergartner presenting with fatigue.

作者信息

Samyn Margaret M, Plymale Jennifer M, Cousineau Anthony J, Tweddell James S

机构信息

Department of Pediatrics, Division of Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin, USA.

Department of Pediatrics, Sacred Heart Children's Hospital, Spokane, Washington, USA.

出版信息

BMJ Case Rep. 2014 Oct 9;2014:bcr2014206231. doi: 10.1136/bcr-2014-206231.

DOI:10.1136/bcr-2014-206231
PMID:25301424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4194985/
Abstract

We present a case of late diagnosis of cyanotic heart disease in a kindergartner, as a contemporary reminder of the importance of the history and clinical examination in the assessment of paediatric patients. In addition, this case illustrates the complementary diagnostic value of various cardiac imaging modalities in understanding pulmonary venous drainage.

摘要

我们报告一例幼儿园儿童紫绀型心脏病的延迟诊断病例,以此作为当代实例,提醒人们病史和临床检查在儿科患者评估中的重要性。此外,该病例还说明了各种心脏成像方式在理解肺静脉引流方面的互补诊断价值。

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本文引用的文献

1
Total anomalous pulmonary venous connection beyond infancy.婴儿期后完全性肺静脉异位连接
Asian Cardiovasc Thorac Ann. 2011 Jun;19(3-4):249-52. doi: 10.1177/0218492311409570.
2
Successful correction of a total anomalous venous connection in a 63-year-old male--case report and review of the literature.63岁男性完全性肺静脉异位连接的成功矫治——病例报告及文献复习
Congenit Heart Dis. 2010 Sep-Oct;5(5):470-5. doi: 10.1111/j.1747-0803.2009.00372.x.
3
Normal biventricular function, volumes, and mass in children aged 8 to 17 years.8至17岁儿童的双心室功能、容积和质量正常。
J Magn Reson Imaging. 2009 Mar;29(3):552-9. doi: 10.1002/jmri.21662.
4
How to distinguish between innocent and pathologic murmurs in childhood.
Pediatr Clin North Am. 1984 Dec;31(6):1229-40. doi: 10.1016/s0031-3955(16)34718-6.