对小儿高原性心脏病诊断的探讨(附124例临床分析)

THE INVESTIGATION OF THE DIAGNOSIS IN PATIENTS WITH HIGH ALTITUDE HEART DISEASES (ANALYSIS OF 124 CASES)

本文报告124例小儿高原性心脏病的临床资料。所有的病例均有临床表现,心电图、胸片。66例100次超声心动图资料,9例作了心导管检查。临床分析的结果表示:①112例小儿高心发病在高原地区,12例发病在中度高原(2260至3000米)。②12例高心合并ASD一例合并PDA。③本文强调高心与肺心的鉴别诊断。④高心死亡率为0.8%,预后良好。⑤高心的治疗包括强心利尿转入低海拔及合并症的处理。⑥该文提出小儿高心的诊断标准以商讨。

The clinical data of 124 patients with high altitude heart disease(HAHD) in children were reported.All of them were dignosed by manifestation,electrovector cardiographic features radiologic feature.Cardiac catheterization was done in 9 patients.The results showed: ①Most of HAHD (112 cases) occured in high altitude.but a small number of HAHD(12 cases) could occure in moderate altitude (2000～3000m).incidence of this disease occured in moderate altitude was 9.67% ② 12 cases patients with HAHD presented with ASD and 1 case patient presented with PDA③ Clinical differentiation of HAHD from the pulmonary heart disease was emphasized.④The mortality rate of patient with HAHD was 0.80% (I case) so the prognosis of this disease was, favourable.⑤The management of this disease include digitalization, Diuresis, movement of patient to low altitude and complication treatment.⑥It was discussed diagnosis standard in patient with high altitude heart disease in children.