22例怪异型心脏的X线平片诊断分析

The Radiographic Diagnosis of 22 Cases with Heterotypic Hearts

目的：分析一组怪异型心脏的Ｘ线平片特异征象。材料和方法：２２例均行心脏正位及左侧位食道吞钡摄片，１９例经手术证实，２例经造影证实，１例经彩超证实。结果：心脏呈普大型伴弧弓９例，无法分型８例，其他型５例。结论：怪异型心脏病因复杂，其Ｘ线平片诊断及鉴别诊断有赖于肺循环改变并结合临床资料及其他Ｘ线征象。

Purpose: To evaluate the characteristic radiographic manifestations of a group of heterotypic hearts. Materials and Methods: 22 patients were radiographed in PA view and left lateral view with esophageal barium swallow, 19 were confirmed by operation, 2 by angiography, 1 by US doppler. Results: The radiographic manifestations showed 9/22 generalizedenlarge shape with marginal eminentia, 8/22 unable to be grouped, 5/22 other types. Conclusion: The causes of heterotypic hearts are complicated. the right diagnosis and differential diagnosis depends on the changes of pulmonary circulation, clinical materials and Xray manifestations.