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目的对高考体检心脏听诊具有≥Ⅲ级收缩期杂音的112名学生的超声心动图及胸片等检查结果分析,探讨心脏杂音性质的鉴别对早期发现无症状的先天性心脏病、直背综合症等的临床意义。方法对2002-2005年参加高考体检的10304名学生进行心脏听诊,发现有≥Ⅲ级收缩期杂音的再做进一步检查。结果 10304名学生中,有≥Ⅲ级收缩期杂音者112例,检出率为1.09%。进一步的超声心动图和胸片检查结果:有69例未见异常,其余43例异常,其中,室间隔缺损2例,房间隔缺损5例,动脉导管未闭2例,左室假腱索31例,直背综合症3例,先天性心脏病占8.04%,左室假腱索占27.68%,直背综合症占2.68%,阳性检出率为38.39%。结论对心脏听诊有≥Ⅲ级收缩期杂音者进一步行超声心动图和胸片检查,可早期发现无临床症状的先天性心脏病、左室假腱索、直背综合症等异常情况。
Objective To analyze the echocardiography and chest radiographs of 112 students who have ≥ Ⅲ systolic murmur during the auscultation examination of the college entrance examination to investigate the characterization of heart murmur. To investigate the early detection of asymptomatic congenital heart disease, straight-back syndrome Such as the clinical significance. Methods A total of 10304 students who took physical examination in the college entrance examination from 2002 to 2005 were auscultated and found that there was no more than grade Ⅲ systolic murmur for further examination. Results Of 10304 students, there were 112 cases with ≥ Ⅲ grade systolic murmur, the detection rate was 1.09%. Further echocardiography and chest X-ray examination results: 69 cases showed no abnormalities, the remaining 43 cases were abnormal, of which 2 cases of ventricular septal defect, 5 cases of atrial septal defect, patent ductus arteriosus in 2 cases, left ventricular false tendons 31 Cases, straight-back syndrome in 3 cases, congenital heart disease accounted for 8.04%, 27.68% of left ventricular pseudo-tendon, straight-back syndrome accounted for 2.68%, the positive detection rate was 38.39%. Conclusions Echocardiography and chest radiography were performed on patients with auscultation ≥ Ⅲ systolic murmur. Early detection of abnormalities such as congenital heart disease without clinical symptoms, left ventricular false tendons, straight-back syndrome and so on.