心血管造影在儿童复杂性先天性心脏病诊断中的应用
Journal of Anhui Health Vocational & Technical College（2011）
Abstract
目的:探讨心血管造影(ACG)在先天性心脏病复杂畸形中的应用价值.方法:分析20例先天性心脏病复杂畸形造影所见及其与超声心动图(TTE)等临床检查的比较.结果:20例各种类型复杂先天性心脏病ACG和TTE对比中纠正后者误诊、漏诊各1例,证实其可疑诊断3例,纠正其分型错误3例及对合并畸形误诊及漏诊分别为6例、7例.结论:ACG对先天性心脏病复杂畸形中体肺侧支血管、冠状动脉畸形及主动脉畸形、肺静脉异位引流、动脉导管未闭的分型等诊断优于TTE,并可测量肺动、静脉压力、心腔压力优于其它影像学检查方法.对于先天性心脏病复杂畸形的疑难病例的诊断和鉴别诊断,ACG仍有重要或不可替代作用.
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Key words
congenital,angiocardiography,heart defect,echocardiography
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