儿童先天性心脏病室间隔缺损左心房增大的三种检查方法诊断分析  

Three Checking Methods and Diagnoses of Left Atrial Enlargement of Patient With Wentricular Septal Defect

作　　者：邓丽萍[1] 陈迎新[1] 张海英[1] 

机构地区：[1]郑州市儿童医院心内科

出　　处：《医学综述》2009年第7期1116-1117,共2页Medical Recapitulate

摘　　要：目的对比分析超声心动图、常规心电图和X线胸片3种检查对先天性心脏病室间隔缺损左心房增大的临床诊断及应用价值。方法对确诊的室间隔缺损患儿分别进行超声心动图、常规心电图和X线胸片检查。结果本组98例患者中超声心动图、心电图和X线胸片检查出左心房增大的例数分别为95、76、29例，三者检出率比较差异有统计学意义（X^2=108．19，P〈0．01）。结论超声心动图对室间隔缺损左心房增大的诊断最为敏感和准确，应作为首选方法。心电图在反应心脏电生理改变反面有其独特优势，X线胸片检查在反应心脏改变的同时能提供肺部病情，3种检查有互补性。Objective To analyse and compare the clinical disgnosis and applied value of the three kinds of melhode of examination on the ultrasonic cardiogram, routine electro cardiogram and chest radiogram of left atrial enlargement of patient with wentrieular septal defect. Methods Ultrasonic cardiogram Routine, electro cardiogram and chest radiogram were examined in patient with wentrieular septal defect. Results In the 98 eases showed in ultrasonic eardiograpmh, eleevocardiograre, and chest radiogram are 95,76 and 29 respectively, there is statistical difference among of. Positive rate with the three method（ X^2 = 108.19, P 〈 0.01 ）. Conclusion The most sensitive and accurate diognoatie on left atrial enlargement of wentrieular septal defect is uhrasonie eardiogragh, theregor it should be the choice methode, electro cardiogram has a speetial advantage on reflecting the chang of the eleetrio-physialogy of the heart,while chest radiogram not only can reflect the chang of the heart but slso obseve lung, so the three methods of examination are complementary.

关 键 词：儿童 室间隔缺损 左心房增大 超声心动图 心电图 X线胸片 

分 类 号：R44[医药卫生—诊断学]