手振50%葡萄糖溶液右心声学造影的临床应用

发布时间：2018-03-08 19:28

本文选题：右心声学造影　切入点：手振%葡萄糖溶液　出处：《中国循环杂志》2015年08期 　论文类型：期刊论文

【摘要】：目的:总结各种心内、心外分流性疾病右心声学造影的不同表现,明确右心声学造影的临床价值。方法:回顾性分析我院2006~2014年期间行右心声学造影检查的102例受检者的超声表现。造影剂为9 ml 50%葡萄糖注射液与1ml空气混合形成的手振50%葡萄糖溶液。结果:检出分流性疾病49例,包括右向左或双向分流房间隔缺损8例、左向右分流房间隔缺损7例、卵圆孔未闭伴功能性右向左分流9例、动脉导管未闭合并肺动脉高压13例、肺动静脉瘘3例、永存左上腔静脉引流入冠状静脉窦8例、引流入左心房1例。结论:右心声学造影能够简便、有效地检出合并肺动脉高压患者心内、心外异常分流,提高先天性心脏病诊断的准确性,是一项重要且实用的辅助诊断方法。
[Abstract]:Objective: to summarize the different manifestations of right heart radiography in various kinds of intracardiac and extracardiac shunt diseases. To determine the clinical value of right voice angiography. Methods: the ultrasonographic findings of 102 patients who underwent right voice angiography from 2006 to 2014 in our hospital were analyzed retrospectively. The contrast medium was 9 ml 50% glucose injection mixed with 1 ml air. Results: 49 cases of shunt disease were detected. There were 8 cases of right left or bilateral shunt atrial septal defect, 7 cases of left to right shunt defect, 9 cases of patent foramen ovale with functional right left shunt, 13 cases of patent ductus arteriosus complicated with pulmonary hypertension and 3 cases of pulmonary arteriovenous fistula. The left superior vena cava was introduced into the coronary sinus in 8 cases and the left atrium in 1 case. Conclusion: the right heart radiography is simple and effective in detecting the anomalous flow of intraventricular and extracardiac shunts in patients with pulmonary hypertension. To improve the diagnostic accuracy of congenital heart disease is an important and practical auxiliary diagnostic method.
【作者单位】：大庆油田总医院超声心动科;广西医科大学第九临床医院感染性疾病科;
【分类号】：R540.45;R541

【参考文献】