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复杂先心病病变类型以及与心脏位置相关性分析

孙培吾 胡佳心 张希

中山医科大学学报2001,Vol.22Issue(2):125-128,13125-128,132,2.
中山医科大学学报2001,Vol.22Issue(2):125-128,13125-128,132,2.

复杂先心病病变类型以及与心脏位置相关性分析

The Analysis of Pathologic Change in Complex-CHD Correlated with the Positional Anomalies of the Heart

孙培吾 1胡佳心 1张希1

作者信息

  • 1. 中山医科大学附属第一医院心胸外科, 广东 广州 510080
  • 折叠

摘要

Abstract

【Objective】 To study the pathologic change of complex CHD and therelationship between complex CHD with the positional anomalies of the heart. 【Method】 From Sep., 1986 to 2000 Feb., 81 cases of complex CHD in our hospital were accumulated. The pathologic change correlated with the various positional anomalies was analysed. 【Results】 In the incidence of complex CHD, there were no sex different distributions in normal or mirror image dextrocardia, but with significant differences in positional anomalies of the heart, male: female was 4∶1. The average age came to clinic was 4 years old, PA and HLHS usually as a emergency in neonate. The incidence of major pathologic change in complex CHD was: TGA 38%, SV 16%, common trunk 13%, TA 10%. 71% of complete TGA in normal or mirror image dextrocardia and 69% of correlated TGA happened in positional anomalies of the heart. The combined lesions in TGA was VSD and PS. Levoversion and isolated levocardia always accompanied with the most complex lesions, the number of defects from 2 to 8 (4.89±1.76, average). In our group, complex CHD was not uncommon in mirror dextrocardia. Two scarcely cases of TASVD found in this group.

关键词

左旋心/孤立左位心/右旋心/镜面右位心/复杂先心病

分类

医药卫生

引用本文复制引用

孙培吾,胡佳心,张希..复杂先心病病变类型以及与心脏位置相关性分析[J].中山医科大学学报,2001,22(2):125-128,13125-128,132,2.

基金项目

广东省科委“五个一”工程基金项目 ()

中山医科大学学报

OA北大核心CSCD

1672-3554

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