成人及儿童心脏憩室临床分析

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1、临床心血管病杂志2000年4月第16卷第4期·177·成人及儿童心脏憩室临床分析111111尤士杰姚民杨跃进李琳高润霖乔树宾11111秦学文姚康宝陈纪林徐义枢陈在嘉摘要目的:探讨成人与儿童心脏憩室的临床特点。方法:将经心脏造影或手术证实为心脏憩室的9例患者临床资料进行回顾性分析。结果:
4例成人患者(成人组)皆因并发冠心病在冠状动脉及左室造影检查时被偶然发现。5例儿童患者(儿童组)中4例因并存其他严重先天性心脏畸形而施行外科矫治手术时被确诊,另1例经左室造影证实。
成人组平均憩室瘤体径为20～48(36.3±11.8)mm,憩

2、室颈径为10～17(14.0±2.9)mm;儿童组平均憩室瘤体径25～80(42.0±22.0)mm,憩室颈径为4～12(8.6±3.9)mm。
成人组均为孤立性左室肌型憩室,无与憩室有关的并发症,未行手术治疗;儿童组中仅1例为孤立性左室肌型憩室,其余4例均根据其并存的心脏畸形类型分别接受了憩室缝合术和房、室间隔修补术、三尖瓣成形术、二尖瓣置换术或动脉导管结扎术等治疗。结论:成人与儿童心脏憩室的临床特点有许多不同之处。关键词先天性心脏憩室憩室缝合术左心室造影Analysisoftheclinicalfeaturesofcong

3、enitalcardiacdiverticuluminadultsandchildrenYOUShi-jieYAOMinYANGYue-jinLILingGAORun-linQIAOShu-binQINXue-wenYAOKang-baoCHENGJi-linXUYi-shuCHENZai-jia(CardiovascularInstituteandFuwaiHeartHospital,ChineseAcademyofMedicalSciencesandPekingUnionMedicalCollege,Beijing1000

4、37)AbstractObjective:Inordertoelucidatedifferentclinicalfeaturesbetweenadultsandchildrenwiththecongenitalcardiacdiverticulum.Method:Theclinicalcharactersofninecaseswithcongenitalcardiacdiverticulumconfirmedbytheventriculographyorsurgicaloperationinourhospitalwereana

5、lyzedretrospectively.Therewere4adultcases,theiraverageagewere(59.3±7.6)years(50～68years);and5childrencases,theiraverageagewere(6.5±4.4)years(2.5～14years).Result:
Fourcaseswithleftventriculardiverticuluminadultswereallincidentallydiscoveredandconfirmedbyleftventricul

6、ographyunderwentfordifferentioncoronaryheartdiseasediagnosis.Fivecasesinchildrenwereconfirmedbysurgicaloperationduringcorrectedoperationforotherseverecongenitalheartmalformation.
Theaveragediameterofthediverticulumwere(36.3±11.8)mm(20～48mm),theneckofdiverticulumwere

7、(14.0±2.9)mm(10～17mm)in4adults.Theaveragediameterofthediverticulumwere(42.0±22.0)mm(25～80mm),theneckofdiverticulumwere(8.6±3.9)mm(4～12mm)in5children.
Allthediverticulumwereisolateralleftventricularmusculardiverticulumin4adults,andthepatientshadnocomplainesrelatedtot

8、hediverticulum,andwerenotoperated.Only1casewiththediverticulumwasisolateralleftventricularmusculardiverticuluminchildren,otherchildrenwith