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目的:探讨超声心动图对成人先天性心脏病(先心病)无创诊断的临床价值,提高临床对成人先天性心脏病认识,以便指导临床对成人先天性心脏病的合理性治疗。方法:对151例成人先心病行彩色多普勒超声心动图检查,判定先心病类型、心脏形态改变及有无血流动力学改变。结果:151例成人先心病患者中室缺(V SD)72例,房缺(A SD)53例,动脉导管未闭(PDA)8例,二叶式主动脉瓣6例,肺动脉狭窄6例,三尖瓣下移畸形2例,法乐氏四联症4例,其中心脏扩大者95例,肺动脉高压者48例,伴有二尖瓣返流105例,三尖瓣返流138例。结论:超声心动图能够准确诊断成人心脏病,且一旦诊断明确,具备手术适应证,应建议患者治疗方向,提高患者生活质量,延长生命。
Objective: To investigate the clinical value of echocardiography in noninvasive diagnosis of congenital heart disease (CHD) in adults and to improve the understanding of congenital heart disease in adults in order to guide the rational treatment of congenital heart disease in adults. Methods: Fifty-one adult patients with CHD underwent color Doppler echocardiography to determine the type of CHD, cardiac morphological changes and hemodynamic changes. Results: There were 72 cases of V SD, 53 cases of A SD, 8 cases of patent ductus arteriosus (PDA), 6 cases of bicuspid aortic valve, 6 cases of pulmonary stenosis , Tricuspid regurgitation in 2 cases, tetralogy of Fallot in 4 cases, including 95 cases of enlarged heart, 48 cases of pulmonary hypertension, with mitral regurgitation in 105 cases, 138 cases of tricuspid regurgitation. CONCLUSIONS: Echocardiography can accurately diagnose adult heart disease and once diagnosed, with indications for surgery, patients should be advised of treatment direction, improve patient quality of life and prolong life.