部分型肺静脉异位引流的超声漏误诊分析  

Missed diagnosis and misdiagnosis of echocardiography on partial anomalous pulmonary venous connection

作　　者：范海波[1,2] 石秋玲[1,2] 焦阳[1,2] 林琪[1,2] 彭启慧[1,2] 梁海南[1,2] 

机构地区：[1]深圳市人民医院 [2]暨南大学第二临床学院超声科,广东深圳518000

出　　处：《中国卫生产业》2012年第15期19-20,共2页China Health Industry

摘　　要：目的对部分型肺静脉异位引流（PAPVC）的超声心动图特征进行分析，找出漏误诊原因。方法回顾性分析我院2005年3月-2012年3月期间经手术或心血管造影证实的PAPVC患者21例资料。结果21例病例中，其中漏诊7例，误诊1例。结论对右房室增大伴或不伴肺动脉高压的患者无论有无房间隔缺损均应警惕PAPVC的可能，应常规对肺静脉进行检测。检查者应多部位、多切面及用多种方法仔细观察，以提高对PAPVC的诊断率。Objective To analyse the the imaging characteristics of partial anomalous pulmonary venous connection （PAPVC） by echocardiography, and find the cause of missed diagnosis and misdiagnosis it. Methods The imaging characteristics and clinical data of 21 PAPVC cases were analyzed retrospectively. Results Of 21cases,7were missed diagnosis and 1 was misdiagnosis. Conclusion For all patients with dilated right heart ,no matter with ASD or not, the 4 pulmonary veins should be routinely ex- plored. Combining more locus and cross section carefully may improve the accuracy of diagnosis for PAPVC.

关 键 词：部分型肺静脉异位引流 超声心动图 

分 类 号：R540.45[医药卫生—心血管疾病]