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我们从1972年开始对一些典型的动脉导管未闭的病孩取消了手术前的右心导管检查,从病史、体检、心电图、X线、心音图检查等综合分析确诊。1976年开展超声心动图检查以来,对一些典型的室间隔缺损、房间隔缺损也取消了术前右心导管检查而确诊。本文初步报导120例动脉导管未闭;50例室间隔缺损,12例继发孔型房间隔缺损,共182例患孩在手术前应用无创伤性检查的诊断经验。所用无创伤性检查包括病史、体检、十二导联心电图、X线及超声心动图等,全部病孩首先经心脏物理检查确诊,然后采用无创伤性检查辅助诊断。
Since 1972, we have canceled the preoperative right heart catheterization examination for some typical patients with patent ductus arteriosus, and from the comprehensive analysis of medical history, physical examination, electrocardiogram, X-ray and phonocardiogram examination. Since the 1976 echocardiography, some of the typical ventricular septal defect, atrial septal defect has also canceled the diagnosis of preoperative right heart catheterization. This article initially reported 120 cases of patent ductus arteriosus; 50 cases of ventricular septal defect, 12 cases of secondary atrial septal defect, a total of 182 cases of children before surgery in the application of non-invasive diagnostic test experience. The noninvasive tests used included medical history, physical examination, 12-lead electrocardiogram, X-ray and echocardiography. All of the patients were diagnosed by cardiac physical examination first and then assisted by noninvasive examination.