摘要
本文分析了２２例小儿慢性肺源性心脏病（简称肺心病）病例。年龄自１至１３岁，病因以支气管哮喘、慢性肺炎和支气管扩张为多．形成肺心病的时间较成人短。临床上多数患儿有活动后气喘，发绀，肺气肿和杵状指，７例合并右心衰竭，１例肺性脑病，１例死亡。胸片，心电图是诊断肺心病的重要手段，有条件时可做起声心动图和心电向全图检查。肺功能检查可以作为指导治疗和评价预后的重要指标。
ccording to the criteria of cor pulmonale for children,22 cases were diagnosed and
ob-served clinically. Of these cases,age ranged from 1 years to 13 years. Majority of these
cas-es were caused by asthma,chronic pneumonitis and bronchiectasis respectively。 The
timefrom the primary disease to cor pulmonale was shorter than that of adults. Most of the
caseshad dyspnea,cyanosis,emphysema and clubbed fingers. 7 cases were complicated with
rightheart failure,1 case with pulmonary encephalopathy, and 1 case died. Chest film and
ECGare important means in diagnosis of cor pulmonale, and UCG and VCG are also suggested.
Lung function test is an important indicator in treatment and prognosis of cor pulmonale.
关键词
肺心病
临床分析
儿童
cor pulmonale
clinical investigation
children
