摘要
目的 通过临床和心血管造影检查资料分析探讨 39例永存动脉干 (TAC)的病理分型及临床诊断。方法 39例TAC中 ,年龄 8个月至 2 5岁 ,平均 (7 9± 6 0 )岁。每例均经详问病史、常规体检、心电图、X线胸片和二维超声心动图检查及右心室和动脉干造影检查作出TAC的诊断。按Collett和Edwards分型方法分型 ,并结合VanPraagh分型进行讨论。 结果 按Collett和Edwards分型 ,Ⅰ型 4例 ,Ⅱ型 4例 ,Ⅲ型 3例 ,Ⅳ型 2 8例。结论 根据TAC定义 ,结合Tucuer的报道 ,Collett和Edwards分型的Ⅳ型可能为法洛四联症伴肺动脉闭锁 (假性动脉干 ) ,按VanPraagh分型更为合理。体循环侧支造影或电子束CT检查 ,在确定Collett和Edwards分型的Ⅳ型TAC是否为假性动脉干方面有重要价值。
Objective To investigate the pathological classification and the clinical diagnosis of TAC in 39 cases after analyzing the clinical data and cardioangiography.Methods In these 39 cases, their ages ranged from 8 months to 25 years old (7 9±6 0).Each TAC diagnosis was made after demanding detailed disease history, doing routine health examination, ECG, X ray chest photogram, ultrosonic cardiogram and cardioangiography of right ventricle and truncus arteriosus.They were typed by Collett and Edwards′ classification and discussed by Van Praagh′s classification.Results Classificating according to Collett and Edwards, there are 4 cases of Type I ,4 TypeⅡ,3 Type Ⅲ,28 Type Ⅳ. Conclusion Type Ⅳ classificated with Collett and Edwards may be the F4 with pulmonary arterial occlusion(pseudotruncus arteriosus).Van Praagh's classification is more reasonable.
出处
《中国实用儿科杂志》
CSCD
北大核心
2003年第2期92-93,共2页
Chinese Journal of Practical Pediatrics
