Vidne B A, Duszynski D, Subramanian S
Am J Cardiol. 1976 Jul;38(1):62-6. doi: 10.1016/0002-9149(76)90063-1.
Pulmonary blood flow distribution was studied by scintillation scanning of the lungs after the infusion of iodine- 131-labeled macroaggregates of human albumin before and after the Mustard operation in 53 patients with transposition of the great arteries. The patients were classified as follows: Group I (24 infants with uncomplicated transposition of the great arteries); Group II (18 patients with transposition and ventricular septal defect); and Group III (11 patients with transposition, ventricular septal defect and pulmonary obstruction). Before operation, 21 patients had a normal distribution of pulmonary blood flow, 10 had preferential flow to the right lung and 2 had preferential flow to the left lung. After operation, 19 had a normal pattern of pulmonary blood flow, 21 had preferential flow to the right lung and 3 had preferential flow to the left lung. The scanning studies have proved helpful in follow-up of patients to rule out recurrence of the shunt, pulmonary of systemic venous obstruction, development of pulmonary hypertension and occlusion of a palliative systemic-pulmonary shunt.
对53例大动脉转位患者在施行Mustard手术前后，通过静脉注射碘-131标记的人血白蛋白大颗粒聚合体后进行肺部闪烁扫描，研究肺血流分布情况。患者分为以下几组：第一组（24例单纯大动脉转位婴儿）；第二组（18例大动脉转位合并室间隔缺损患者）；第三组（11例大动脉转位、室间隔缺损合并肺动脉梗阻患者）。术前，21例患者肺血流分布正常，10例右肺血流优先，2例左肺血流优先。术后，19例肺血流模式正常，21例右肺血流优先，3例左肺血流优先。扫描研究已证明有助于对患者进行随访，以排除分流复发、肺或体静脉梗阻、肺动脉高压的发展以及姑息性体肺分流的闭塞。
