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[心脏导管检查所涉及的风险。对700例检查后并发症的回顾性评估。I. 方法、患者、诊断(作者译)]

[The risks involved in the heart catheter examination. A retrospective evaluation of the complications after 700 examinations. I. Method, patients, diagnoses (author's transl)].

作者信息

Hammerer I

出版信息

Padiatr Padol. 1979;14(4):373-9.

PMID:530725
Abstract

A retrospective study is undertaken in order to assess the kind and frequency of complications which occurred in 700 heart catheterizations performed in 539 infants and children. This paper deals with the distribution of age groups and diagnoses. The percentages of the different age groups resemble closely those of the "Cooperative Study" of Braunwald and ass. (1968) with the exception that newborns and infants are represented in greater number. This id due to a more active approach to investigation of cardiac malformations in infancy. With regard to the diagnoses those malformations are highly represented which are susceptible to low-risk surgery (Ductus Botalli, atrial septal defect, coarctation, pulmonic and aortic stenosis) and those where surgery is inevitable (tetralogy, transposition of great arteries). Aortic stenosis, too, shows a higher than real incidence because the exact degree of severity can be ascertained only by use of invasive methods. On the other hand there are relatively few ventricular septal defects, because many of them diminish spontaneously in size and do not need catheterization. The rare anomalies are represented in small numbers.

摘要

为评估在539例婴幼儿中进行的700例心脏导管插入术所发生并发症的种类和频率,开展了一项回顾性研究。本文探讨了年龄组分布和诊断情况。不同年龄组的百分比与布劳恩瓦尔德等人(1968年)的“合作研究”结果非常相似,只是新生儿和婴儿的数量更多。这是由于对婴儿期心脏畸形的调查采取了更积极的方法。关于诊断,那些易于进行低风险手术的畸形(动脉导管未闭、房间隔缺损、主动脉缩窄、肺动脉和主动脉狭窄)以及那些手术不可避免的畸形(法洛四联症、大动脉转位)占比较高。主动脉狭窄的发病率也高于实际情况,因为只有通过侵入性方法才能确定确切的严重程度。另一方面,室间隔缺损相对较少,因为其中许多会自行缩小,不需要进行导管插入术。罕见畸形的数量较少。

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