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目的探讨超声心动图与临床听诊相结合在儿童先心病筛查中的价值。方法对202例临床听诊有心脏杂音的儿童进行心脏彩色多普勒超声检查。结果在202例临床听诊有级以上心脏杂音的儿童中检查出先天性心脏病(先心病)45例:单纯房缺14例,单纯室缺13例,动脉导管未闭5例(2例合并小室缺),法洛氏四联症3例,法洛氏五联症1例,完全性心内膜垫缺损伴肺动脉狭窄2例,肺动脉狭窄2例,肺动脉瓣上狭窄伴房缺1例,主动脉瓣狭窄1例,三尖瓣下移畸形1例,永存动脉干1例,右位心伴永存动脉干1例。结论在儿童先心病的诊疗过程中,超声心动图检查具有重要价值,应列为首选方法,能进行早期的诊断和鉴别诊断,同时为治疗方案的选择和预后评估提供可靠信息。
Objective To investigate the value of echocardiography combined with clinical auscultation in screening for CHD in children. Methods Twenty-two children with auscultation of heart auscultation were examined by color Doppler sonography. Results Of the 202 cases of clinical auscultation in children above grade heart murmur, 45 cases of congenital heart disease (congenital heart disease) were detected: simple atrial septum in 14 cases, simple ventricular septum in 13 cases, patent ductus arteriosus in 5 cases (2 cases with combined chamber 3 cases of tetralogy of Fallot, 1 case of Falcon’s pentameter syndrome, 2 cases of complete endocardial cushion defect with pulmonary stenosis, 2 cases of pulmonary stenosis, 1 case of pulmonary stenosis with atrial septal defect, 1 case of aortic valve stenosis, 1 case of tricuspid valve deformity, 1 case of permanent arterial trunk, 1 case of right locus with permanent arterial occlusion. Conclusion Echocardiography has important value in the diagnosis and treatment of CHD. It should be the first choice for early diagnosis and differential diagnosis, and provide reliable information for the selection of treatment plan and prognosis.