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婴儿动脉导管未闭(PDA)临床表现常不典型,给诊断和治疗带来一定困难,早期易误诊.国内报道较少,我院自1981年4月～1988年12月,经外科手术确诊为婴儿PDA22例,现报道分析如下. 一、临床资料 (一)一般资料22例PDA中,男7例,女15例;年龄2月～1岁,小于6个月8例;6个月以上14例;均有反复呼吸道感染,20例常因肺炎、心衰而反复住院,其中8例内科住院治疗无效,转外科急诊手术治愈.22例患儿均有胸骨左上缘Ⅲ-Ⅳ级喷射性收缩期杂音,有短促舒张期杂音15例
Infantile patent ductus arteriosus (PDA) clinical manifestations are often not typical, to the diagnosis and treatment of certain difficulties, early misdiagnosis. Domestic reports less, our hospital from April 1981 to December 1988, was diagnosed by surgery 22 cases of infant PDA, are now reported as follows .A clinical data (a) general information 22 cases of PDA, 7 males and 15 females; age 2 months to 1 year, less than 6 months in 8 cases; 6 months 14 Cases were recurrent respiratory tract infections, 20 cases often due to pneumonia, heart failure and repeated hospitalization, of which 8 cases of medical treatment in hospital was ineffective, surgical emergency surgery cured .22 cases of children with upper left sternal Ⅲ-Ⅳ jet contractility Period murmur, short diastolic murmur in 15 cases