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目的:探讨婴儿先天性心脏病(CHO)的临床特点,提高早期诊断率。方法:对2005-01/2008-12收治的35例经彩色多普勒超声诊断为CHO的婴儿分为A、B两组,A组为≤3月龄(n=10),B组为>3月龄(n=25),对其临床资料进行回顾性分析。结果:A组CHO以复合畸形为主,占总例数11.4%;B组CHO以单纯畸形为主,占62.8%。两组CHO类型构成比有统计学差异(P<0.05)。临床表现多样,在A组尤其不典型,以呼吸急促、青紫、心脏杂音多见,易反复肺炎、并发心力衰竭。结论:对可疑的CHO婴儿应及时行超声心动图检查,早期诊断并制定恰当的治疗方案。
Objective: To investigate the clinical features of infant congenital heart disease (CHO) and improve the early diagnosis rate. Methods: A total of 35 children with CHO diagnosed by color Doppler sonography from January 2005 to December 2008 were divided into two groups: group A (≤ 3 months old) (n = 10), group B (> 3 months old (n = 25). The clinical data were retrospectively analyzed. Results: A group of CHO with compound deformity, the total number of cases 11.4%; B group of simple deformity of CHO, accounting for 62.8%. There were significant differences in the constituent ratios of CHO between the two groups (P <0.05). Clinical manifestations of diversity, especially in the A group is not typical, with shortness of breath, purple, heart murmur common, easy to repeat pneumonia, complicated by heart failure. Conclusion: Suspected CHO infants should be echocardiography timely examination, early diagnosis and the development of appropriate treatment options.