婴儿型左冠状动脉异常起源于肺动脉的诊断与治疗.pdfVIP

JPediatr Surg,F—ebruary ·临床研究· 婴儿型左冠状动脉异常起源于 肺动脉的诊断与治疗 李星岑坚正陈寄梅 oftheleft origin cornary 【摘要】目的研究婴儿型左冠状动脉异常起源于肺动脉(anomalous fromthe artery artery，ALCAPA)临床特点、诊断及治疗。方法’细10年1月至2012年6 pulmonary 月广东省人民医院小儿心外科手术治疗婴儿型ALCAPAl8例，对这些患儿的临床表现、检查诊断与 治疗进行回顾性分析。结果婴儿型ALCAPA临床表现无特异性，易误诊：ALCAPA诊断依赖心 脏B型超声及心脏CT检查。18例手术治疗，死亡1例。结论掌握ALCAPA的临床特点，可提高 。。 AICAPA检出率。婴儿型ALCAPA手术治疗病死率低，效果好。 【关键词】心脏病，先天性；冠状血管畸形；肺动脉 treatment ofleft fromthe LI mid Diagnosis of锄加maI瑚璐赫西n coronaryartery pulmonaryartery Children’S 545001， Xing，CEN Ji-mei．Liuzhou‰靠andHospital，Liuzhou Jian·zheng，CHEN China Correspondingauthor：CENJiamzheng，E-mail：jamesofolan@163．c蝴 The aimsto theclinical andtreat- [Abstract]Objectivestudy investigate features。diagnosis mentof氏LC氏P久ininfantandehildrerl．Methods18childrenwith龇氏P久between2010 January 2012were toJune reviewed．ResultsWithout and is retrospectively typicalsymptomssigns，AI．CAPA tobe ofAI．CAPA andheartCTex- easy misdiagnosed．Thediagnosis dependsuponechocardiography amination．Onedied Withamaster1istoftheclinicalcharacteris— patientpostoperatively．Conclusions ticsofALCAPA，thecanbemademore treatmentiSeffec— diagnosis accurately．Besides，earlysurgical tivewhichcanreducethe ofsuch mortalitypatients． Heart vessel [Keywordsl diseases，congenital；Coronar