手振50%葡萄糖溶液右心声学造影的临床应用  

Clinical Application of Right Heart Contrast Echocardiography With the Media of Hand-vibrated 50% Glucose Solution

作　　者：毕秋香[1] 王寒梅[1] 巨兰[1] 杨姣[1] 梁冬梅[1] 吕建楠[2] 

机构地区：[1]大庆油田总医院超声心动科,黑龙江省大庆市163001 [2]广西医科大学第九临床医院感染性疾病科

出　　处：《中国循环杂志》2015年第8期771-773,共3页Chinese Circulation Journal

摘　　要：目的：总结各种心内、心外分流性疾病右心声学造影的不同表现,明确右心声学造影的临床价值。方法：回顾性分析我院2006-2014年期间行右心声学造影检查的102例受检者的超声表现。造影剂为9 ml 50%葡萄糖注射液与1ml空气混合形成的手振50%葡萄糖溶液。结果：检出分流性疾病49例,包括右向左或双向分流房间隔缺损8例、左向右分流房间隔缺损7例、卵圆孔未闭伴功能性右向左分流9例、动脉导管未闭合并肺动脉高压13例、肺动静脉瘘3例、永存左上腔静脉引流入冠状静脉窦8例、引流入左心房1例。结论：右心声学造影能够简便、有效地检出合并肺动脉高压患者心内、心外异常分流,提高先天性心脏病诊断的准确性,是一项重要且实用的辅助诊断方法。Objective： To summarize the different cardiac shunt presentation in right heart contrast echocardiography and to clarify its clinical value for diagnosing the patients with congenital heart disease （CHD）. Methods： We retrospectively analyzed 102 patients who received right heart contrast echocardiography in our hospital from 2006 to 2014. The contrast media was the hand-vibrated mixture of 9 ml 50% glucose solution with 1 ml air. Results： There were 49/102 patients with abnormal blood shunt detected including 8 patients of atrial septal defect （ASD） with right to left or dual shunt, 7 of ASD with left to right shunt, 9 of patent foramen ovale （PFO） with functional right to left shunt, 13 of patent ductus arteriosus （PDA） combining pulmonary arterial hypertension, 3 of pulmonary arteriovenous fistula （PAVF）, 9 patients with persistent left superior vena eava （PLSVC） and 8 of them drain to coronary vein sinus, 1 drain to left atrium. Conclusion： Right heart contrast echocardiography may simply and effectively detect abnormal blood shunt in patients combining pulmonary arterial hypertension and improve the diagnostic accuracy of CHD.

关 键 词：右心声学造影 手振50%葡萄糖溶液 先天性心脏病 超声心动图 

分 类 号：R541[医药卫生—心血管疾病]