婴幼儿法洛四联症和肺动脉闭锁病例肺血来源的分析  

SUPPLY OF PULMONARY BLOOD IN YOUNG CHILDREN WITH TOF AND PULMONARY ATRESIA

作　　者：胡喜红[1] 黄国英[2] 帕米尔[1] 李国平[1] 张大江[1] 吴琳[2] 刘芳[2] 

机构地区：[1]复旦大学附属儿科医院放射科,上海200032 [2]复旦大学附属儿科医院心血管中心,上海200032

出　　处：《解剖学报》2008年第4期586-589,共4页Acta Anatomica Sinica

摘　　要：目的探讨法洛四联症和肺动脉闭锁先天性心脏病患儿的肺循环血流来源。方法回顾性分析67例法洛四联症和27例肺动脉闭锁患儿的临床和影像学资料,判断肺循环血流的具体来源。结果94例中单纯肺动脉供血51例,单纯体动脉供血27例,肺-体动脉双重供血16例。单纯体动脉供血或肺-体动脉双重供血病例中,合并单纯动脉导管未闭20例,合并单纯体-肺侧支20例,3例同时合并动脉导管未闭和体-肺侧支,侧支循环的发生率与肺动脉狭窄程度相关。结论法洛四联症和肺动脉闭锁病例肺血来源复杂多样,多数合并动脉导管未闭和(或)体-肺侧支,而且体-肺侧支的发生率较高,对治疗往往产生重要影响。Objective To analyze pulmonary blood supply in congenital heart disease with tetralogy of Fallot （TOF） and pulmonary atresia in young children. Methods The clinic and imaging data of 94 cases of congenital heart disease with tetralogy of Fallot （TOF） and pulmonary atresia were analyzed, aged 2-26 （11.25 ± 8.24） months, from January 2004 to January 2007. Results There were 51 cases with pulmonary blood flow only from ventricle, 27 cases with pulmonary blood flow only from patent ductus arteriosus （PDA） and/or aortopulmary collateral arteries （APCAs）, and 16 cases with pulmonary blood flow from both pulmonary and systemic arterier. There were no significant differences in the incidence of PDA and the degree of pulmonary stenosis （ P 〉 0.05）. The differences were significant between the incidence of APCAs and the degree of pulmonary stenosis （ P 〈 0.05）. Conclusion The source of pulmonary, blood in congenital heart disease with TOF and pulmonary atresia is complex. The incidence of aortopulmonary collateral arteries is high.

关 键 词：先天性心脏病 法洛四联症 肺循环 血管造影 婴幼儿 

分 类 号：R725.4[医药卫生—儿科]