超声心动图在婴幼儿完全性肺静脉异位引流中的应用价值  

Echocardiography in the Diagnosis of Infants with Total Anomalous Pulmonary Venous Connection

作　　者：吴娟[1] 乔东萍 丛娟[1] 刘云[1] 王铭[1] 

机构地区：[1]郑州大学第三附属医院超声科,郑州市450052 [2]长葛市妇幼保健院

出　　处：《中国超声医学杂志》2012年第6期533-535,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声心动图在婴幼儿完全性肺静脉异位引流(TAPVC)诊断中的临床应用价值。方法回顾分析4l例TAPVC患儿的超声心动图资料,与手术结果或尸体解剖相对照。结果41例TAPVC的超声心动图特征:右房、右室增大,左房、左室较小。左房未及肺静脉开口,于左房后上方可见肺静脉共腔.伴有心房水平右向左分流。41例婴幼儿TAPVC心上型23例,心内型13例,心下型3例,混合型2例。结论多部位、多切面仔细观察,超声心动图可以诊断TAPVC,并准确分型。Objective To explore the clinical value of echocardiography in diagnosis of infants with total anoma- lous pulmonary venous connection. Methods The data of echocardiography in 41 cases with TAPVC confirmed by surgery or autopsy were analyzed retrospectively. Results The characteristics were observed in the 41 cases where the right atria and right ventricle were enlarged ,and left atria and right ventricle were smaller. There was no entrance of pulmonary veins detected on the wall of left atria, and the common pulmonary veins were seen in the upper left of the left atria . All cases were divided into 4 types： supra-cardiac （23 cases）,intra-cardiac （13 cases） ,infra-cardiac （3 ea- ses） and mixed（2 cases） types. Conclusions With careful examination using multiple windows and setions,TAPVC could be diagnosed typed accurately by echocardiography.

关 键 词：超声心动图 婴幼儿 完全性肺静脉异位引流 

分 类 号：R540.45[医药卫生—心血管疾病]