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[胸部X光片在婴儿先天性心脏缺陷诊断中的价值]

[Value of chest x-ray films in the diagnosis of congenital heart defects in infants].

作者信息

Koczyński A

出版信息

Probl Med Wieku Rozwoj. 1982;11:121-31.

PMID:7178076
Abstract

The respiratory distress and suspicion of the heart defects in newborns and infants is indicated by x-ray chest examinations. The right interpretation of the x-ray pictures is very important but it must be followed by other diagnostic procedures. In every child it is possible to take the linear measurements of the great vessels and arteries in parahilar lung areas as well as the heart and chest in two dimensions from x-ray plain films. The measurements let to establish the indices: cardio-thoracic (ICP), vasculo-cardiac (IVC) and sagittal one (IS), which play important role in radiological evaluation of the chest. It results from the investigated material, that the evaluation of the pulmonary vascular pattern and the indices particularly facilitate the diagnosis of heart deformities coexisting with higher blood flow in pulmonary circulation. Nevertheless the measurements and the indices play the relative role in establishing of the final opinion about the chest and should be considered together with clinical and cardiological data.

摘要

胸部X线检查可显示新生儿和婴儿的呼吸窘迫及心脏缺陷可疑情况。对X线片的正确解读非常重要,但之后必须进行其他诊断程序。对于每个儿童,都可以从X线平片中在肺门旁区域以及心脏和胸部的两个维度对大血管和动脉进行线性测量。这些测量可得出指标:心胸比(ICP)、血管心比(IVC)和矢状比(IS),它们在胸部的放射学评估中起重要作用。研究材料表明,对肺血管形态和这些指标的评估尤其有助于诊断肺循环中血流增加的并存心脏畸形。然而,这些测量和指标在形成关于胸部的最终意见中起相对作用,应与临床和心脏病学数据一起考虑。

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1
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Ann Radiol (Paris). 1971 Mar-Apr;14(3):167-75.