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目的探讨婴儿半心畸形的临床、病理特点及其在先天性心脏病中的意义。方法在复查我院先心病标本的基础上,对15例先天性半心畸形资料进行回顾分析。结果左心发育不良12例,主要特点为左室腔明显狭窄,左房及左心耳不发育,二尖瓣重度狭窄或闭锁,主动脉瓣闭锁,主动脉弓重度狭窄或闭锁。动脉导管均呈开放状(粗大3例)。卵圆孔未闭8例,房缺2例。右房、右室及肺动脉干显著增大。右心发育不良3例,主要改变为右室腔明显狭窄,三尖瓣明显狭窄或发育不良,肺动脉瓣闭锁,肺动脉狭窄或闭锁,动脉导管也呈开放状。左室肥大,主动脉弓粗大。结论半心畸形是婴儿时期较常见的一种致死性先心病,迄今缺乏有效的治疗手段,应引起足够重视。
Objective To investigate the clinical and pathological features of infantile hemiverthrome and its significance in congenital heart disease. Methods On the basis of reviewing the samples of CHD in our hospital, 15 cases of congenital heart failure were retrospectively analyzed. Results Left ventricular dysplasia in 12 cases, the main features of the left ventricular cavity was obvious stenosis, left atrial and left atrial appendage is not developed, severe mitral stenosis or atresia, aortic valve atresia, severe aortic arch stenosis or atresia. Artery catheters were open (3 cases of coarse). Foramen ovale in 8 cases, 2 cases of atrial septal defect. Right atrium, right ventricle and pulmonary artery significantly increased. Right heart dysplasia in 3 cases, the main change was obvious right ventricular cavity stenosis, tricuspid stenosis or poorly developed, pulmonary atresia, pulmonary stenosis or atresia, patent ductus arteriosus was also open. Left ventricular hypertrophy, aortic arch thick. Conclusion Deformity of the heart is a more common fatal congenital heart disease in infancy. So far, there is no effective treatment and should be given enough attention.