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98例单纯房间隔缺损患儿的放射学及超声心动图检查结果

[Radiological and echotomographic findings in 98 children with isolated atrial septal defects].

作者信息

Hoeffel J C, Ravault M C, Geny M, Legras B, Worms A M, Pernot C

出版信息

Arch Fr Pediatr. 1982 Apr;39(4):209-13.

PMID:7125813
Abstract

Chest roentgenograms were carried out in 98 children with atrial septal defects and showed in 71 of them an increase of the pulmonary vascular markings, an increased heart index and right ventricular enlargement. In other children, abnormalities were either incomplete (18 cases) misleading (7 cases) or normal (2 cases). Echocardiogram was characteristic in 34 of 35 children showing an increased telediastolic ratio in virtually all cases and paradoxical septal motion in 79%. Postoperatively, chest roentgenographic findings include a return to normal of pulmonary markings and heart index while right ventricular enlargement regresses only partially. Echocardiograms show a decrease of the telediastolic ratio in all patients and a normal septal motion in 78%.

摘要

对98例房间隔缺损患儿进行了胸部X线检查,其中71例显示肺血管纹理增多、心脏指数增加及右心室增大。其他患儿的异常情况要么不完整(18例)、具有误导性(7例),要么正常(2例)。35例患儿中有34例的超声心动图具有特征性,几乎所有病例的舒张末期比率均增加,79%的病例有室间隔矛盾运动。术后,胸部X线检查结果包括肺纹理和心脏指数恢复正常,而右心室增大仅部分消退。超声心动图显示所有患者的舒张末期比率降低,78%的患者室间隔运动正常。

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