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本文分析了22例小儿慢性肺源性心脏病(简称肺心病)病例。年龄自1至13岁,病因以支气管哮喘、慢性肺炎和支气管扩张为多.形成肺心病的时间较成人短。临床上多数患儿有活动后气喘,发绀,肺气肿和杵状指,7例合并右心衰竭,1例肺性脑病,1例死亡。胸片,心电图是诊断肺心病的重要手段,有条件时可做起声心动图和心电向全图检查。肺功能检查可以作为指导治疗和评价预后的重要指标。
This article analyzes 22 cases of children with chronic cor pulmonale (referred to as pulmonary heart disease) cases. Age from 1 to 13 years old, the cause of bronchial asthma, chronic pneumonia and bronchiectasis more. Coronary heart disease is shorter than adults. Most children with active clinical asthma, cyanosis, emphysema and clubbing, 7 patients with right heart failure, 1 case of pulmonary encephalopathy, 1 patient died. Chest radiography, ECG is an important means of diagnosis of pulmonary heart disease, when conditions can do echocardiography and ECG to the whole map examination. Pulmonary function tests can be used as an important indicator to guide the treatment and evaluation of prognosis.