小儿高原性心脏病X线分析

X-RAY CHANGES OF CHILDREN WITH HIGH ALTITUDE HEART DISEASE

目的 :总结常见的小儿高原性心脏病X线特点 ,以提高诊断的准确性 ;方法 :选取 1 994年— 1 999年已经临床诊断证实的 90例高原性心脏病小儿 ,对其X线表现及病案进行分析 ;结果 :心脏形态普大 ,多数以右心室增大为主 ,透视下 90例心脏搏动均减弱。大多数肺纹理增重、模糊 ,以中内带为著 ;结论 :小儿高心病并无特异性X线表现 ,必须结合临床症状、体征、心电图改变及高原居住史而综合判断 ,同时应与心包积液及先心病进行鉴别诊断。

Objective:To report the changes of x-ray in children with high altitude heart disease.Method:90 reports of children with high altitude heart disease during 1994-1999 were reviewed on x-ray film.Results:The enlargement of heart was obvious,specially right ventricle,in these cases.The heart had a weaker beat,and there were heavy lung marking at middle lung.Conclusion:There is no a indicating signs of x-ray for children with high altitude heart disease.The general diagnosis is importance in clinic.