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本文研究了33例14岁以下漏斗胸病儿的X线胸片心脏形态、心电图、超声心动图。采用和田寿郎漏斗指数(FI)衡量漏斗胸的严重程度。X线心胸比率增大发生率(24.2%)及心电图终末Pv_1指数增大发生率(21.2%)均较对照组明显增高,且心胸比率及终末Pv_1真指数均与FI呈直线正相关,推测其产生是由于漏斗胸对心脏直接压迫并使心脏向左后移位及旋转所致。超声心动图显示二尖瓣脱垂(MVP)4例(12.1%),提示漏斗胸与MVP关系密切。临床工作中应注意漏斗胸对心脏的影响,遇有漏斗胸病儿应考虑做超声心动图检查。
In this paper, 33 cases of funnel chest disease in children under 14 years of chest X-ray chest morphology, ECG, echocardiography. The severity of the funnel chest was measured using the Wada Shokoro funnel index (FI). The incidence of X-ray increased (24.2%) and the increased incidence of Pv_1 index (21.2%) at the end of electrocardiogram were significantly higher than that of the control group, and the cardiothoracic ratio and final Pv 1 true index were positively correlated with FI, Speculated that its production is due to the funnel chest direct compression of the heart and the left heart after the shift and rotation caused. Echocardiography showed mitral valve prolapse (MVP) in 4 cases (12.1%), suggesting that the funnel chest and MVP are closely related. Clinical work should pay attention to the impact of the funnel chest on the heart, in case of funnel chest disease should be considered to do echocardiography.