15例完全性心内膜垫缺损的医学影像诊断和临床

The Medieal Photograph Diagnosis and Clinic of Complete Endocardial Cushion Defect

本文分析己确诊的完全性心内膜垫缺损15例．目前诊断本病主要依靠医学影像物理诊断。将心电图，X线的胸片，心导管、彩色多普勒超声心动图等四种医学影像物理诊断方法比较，最值得提倡是彩色多普勒心动图。本病预后欠佳、夭折率甚高、其致死原因主要为肺高压、感染及心衰等并发症，但本文报导死亡年龄较过去文献报导已大为延长，此为现代医学对发症的处理手段提高所致．本病合并先天愚型较多、建议确诊本病后应同时进行遗传病学检查，以研讨患者的治疗价值及生存质量．

Fifteen examples of complete endocardial cushion defect diagnosed were analyzed in this paper.Today, this kind of disease is diagnosed maiuly by physics diagnosis with the method of medical photograph.Comparing with four of the medical photograph methods namelyl electr-cardio graphy,chest X-rayed photograph,cardiac cath, color Doppler flow imaging. We strongly recommend the last one method. The mortality for those patients with complete endocardial cushion defect is quitehigh. The main reasons may be the complications of high pressure of lungs, infection, and the heart trouble, However, aince the improvement of cure technique to this kind of complications in the modern medicine,the mortal age of these patient is much longer that thoose reported.Meanwhile, many patients with complete endocardial cushion defect are congential imb ecility, we suggedt that the patient should be examined in the way of genetic disease after diagnosis, and then to estimate the possibility of survival and cure.