成人及儿童心脏憩室临床分析  

Analysis of the clinical features of congenital cardiac diverticulum in adults and children

作　　者：尤士杰[1] 姚民[1] 杨跃进[1] 李琳[1] 高润霖[1] 乔树宾[1] 秦学文[1] 姚康宝[1] 陈纪林[1] 徐义枢[1] 陈在嘉[1] 

机构地区：[1]中国医学科学院

出　　处：《临床心血管病杂志》2000年第4期177-179,共3页Journal of Clinical Cardiology

摘　　要：目的 :探讨成人与儿童心脏憩室的临床特点。方法 :将经心脏造影或手术证实为心脏憩室的 9例患者临床资料进行回顾性分析。结果 :14例成人患者 (成人组 )皆因并发冠心病在冠状动脉及左室造影检查时被偶然发现。 5例儿童患者 (儿童组 )中 4例因并存其他严重先天性心脏畸形而施行外科矫治手术时被确诊 ,另 1例经左室造影证实。2成人组平均憩室瘤体径为 2 0～ 48(36 .3± 11.8) mm,憩室颈径为 10～ 17(14.0± 2 .9) mm;儿童组平均憩室瘤体径 2 5～ 80 (42 .0± 2 2 .0 ) m m,憩室颈径为 4～ 12 (8.6± 3.9) mm。 3成人组均为孤立性左室肌型憩室 ,无与憩室有关的并发症 ,未行手术治疗 ;儿童组中仅 1例为孤立性左室肌型憩室 ,其余 4例均根据其并存的心脏畸形类型分别接受了憩室缝合术和房、室间隔修补术、三尖瓣成形术、二尖瓣置换术或动脉导管结扎术等治疗。结论Objective:In order to elucidate different clinical features between adults and children with the congenital cardiac diverticulum.Method:The clinical characters of nine cases with congenital cardiac diverticulum confirmed by the ventriculography or surgical operation in our hospital were analyzed retrospectively.There were 4 adult cases,their average age were ( 59.3 ± 7.6 ) years (50~68 years);and 5 children cases, their average age were ( 6.5 ± 4.4 ) years ( 2.5 ~14years). Result:①Four cases with left ventricular diverticulum in adults were all incidentally discovered and confirmed by left ventriculography under went for differention coronary heart disease diagnosis.Five cases in children were confirmed by surgical operation during corrected operation for other severe congenital heart malformation.②The average diameter of the diverticulum were ( 36.3 ± 11.8 ) mm(20~48 mm), the neck of diverticulum were ( 14.0 ± 2.9 ) mm(10~17 mm) in 4 adults. The average diameter of the diverticulum were ( 42.0 ± 22.0 ) mm(25~80 mm), the neck of diverticulum were ( 8.6 ± 3.9 ) mm (4~12 mm) in 5 children.③All the diverticulum were isolateral left ventricular muscular diverticulum in 4 adults, and the patients had no complaines related to the diverticulum, and were not operated.Only 1 case with the diverticulum was isolateral left ventricular muscular diverticulum in children, other children with the diverticulum (1 case with bioverticular musucular diverticulum, 2 case with right ventricular muscular diverticulum, 1 case with left atrial fibrous diverticulum) were underwent surgery according to the types of congenital heart anomales their diverticulums were sutured at the same time.Conclusion:There were many different clinical features between the adults and the children with congenital cardiac diverticulum.

关 键 词：先天性心脏憩室 憩室缝合术 左心室造影 

分 类 号：R654.2[医药卫生—外科学]