[1]张 坡,朱鲜阳,张端珍,等.5岁以下儿童房间隔缺损大小与肺动脉压力关系[J].介入放射学杂志,2014,(07):565-568.
 ZHANG Po,ZHU Xian yang,ZHANG Duan zhen,et al.Relationship between the size of ostium secundum atrial seplal defect and the pulmonary arterial pressure in children less than 5 years of age[J].journal interventional radiology,2014,(07):565-568.
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5岁以下儿童房间隔缺损大小与肺动脉压力关系()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年07期
页码:
565-568
栏目:
心脏介入
出版日期:
2014-07-25

文章信息/Info

Title:
Relationship between the size of ostium secundum atrial seplal defect and the pulmonary arterial pressure in children less than 5 years of age
作者:
张 坡 朱鲜阳 张端珍 王琦光 韩秀敏 盛晓棠 崔春生
Author(s):
ZHANG Po ZHU Xian yang ZHANG Duan zhen WANG Qi guang HAN Xiu min SHENG Xiao tang CUI Chun sheng.
Department of Congenital Heart Diseases, Cardiovascular Research Institute of PLA, General Hospital of Shenyang Military Command, Shenyang, Liaoning Province 110016, China
关键词:
继发孔房间隔缺损 氯胺酮 右心导管 肺动脉压
文献标志码:
A
摘要:
【摘要】 目的 探讨5岁以下儿童继发孔房间隔缺损(ASD)大小与肺动脉压力的关系。方法 2000年4月—2011年1月沈阳军区总医院收治5岁以下ASD患者189例,全部患儿在氯胺酮全麻下行心导管检查测肺动脉压力,并完成封堵治疗,分析患者性别、年龄、身高、体重及体表面积、房缺直径、心胸比值、肺动脉收缩压、舒张压和平均压,术后超声心动图随访1年,并按缺损直径分组。结果 189例中,男性77例,女性112例,男女之比为1 ∶ 1.5,平均年龄(4.1 ± 0.9)岁(2 ~ 5岁),平均体重(17.2 ± 3.6)kg(10.0 ~ 30.0 kg),平均身高(104.9 ± 9.2)cm(77 ~ 135 cm),缺损直径5 ~ 29 mm,平均(12.6 ± 4.8)mm,体表面积矫正缺损直径为5.3 ~ 38.9 mm/m2,平均(18.0 ± 7.0)mm/m2,肺动脉收缩压15 ~ 67 mmHg,平均(41.1 ± 8.9)mmHg。159例(89.4%)患者心导管测量肺动脉高压,所有患者术前和术后1、3、6、12个月超声估测肺动脉压均正常。ASD直径与肺动脉压力之间无相关性(P < 0.05)。结论 5岁以下ASD患儿,心导管检查所测肺动脉压力与缺损直径无关。心导管检查过程中所测肺动脉压力可能受全麻药物氯胺酮影响,心导管测量的肺动脉压力高于超声估测的肺动脉压力。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2012-12-06)
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