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目的总结临床易误诊、漏诊的先天性心脏病,以期提高先天性心脏病诊断准确率。方法回顾性分析99例术前、术后漏诊、误诊的先天性心脏病患者的临床资料。结果术前漏诊61例、术后漏诊24例,术前误诊13例、术后误诊1例;漏诊较多的疾病为右心室流出道梗阻(26例)、动脉导管未闭(18例)和部分型肺静脉异位连接(10例);误诊较多的疾病为主动脉弓缩窄(5例)、主动脉弓中断(4例)。结论室间隔缺损、动静脉血管畸形、远端主动脉问题和右心室流出道梗阻是先天性心脏病术前易漏诊、误诊的常见原因。
Objective To summarize the clinical misdiagnosis and missed diagnosis of congenital heart disease in order to improve the diagnostic accuracy of congenital heart disease. Methods A retrospective analysis of 99 cases of missed diagnosis, postoperative misdiagnosis of patients with congenital heart disease clinical data. Results There were 61 cases missed before operation, 24 cases missed after operation, 13 cases misdiagnosed before operation and 1 case misdiagnosed after operation. The most common diseases missed were right ventricular outflow tract obstruction (26 cases), patent ductus arteriosus (18 cases) and Partial pulmonary venous connection (10 cases); misdiagnosis of the more aortic arch constriction (5 cases), aortic arch interruption (4 cases). Conclusion Ventricular septal defects, arteriovenous malformations, distal aortic problems and right ventricular outflow tract obstruction are common causes of misdiagnosis and misdiagnosis of preoperative congenital heart disease.