先天性心脏憩室临床特点分析(摘要)
作者：尤士杰 姚民 李琳 杨跃进 高润霖 乔树宾 秦学文 姚康宝 陈纪林 徐义枢 陈在嘉
单位：北京市，中国医学科学院 中国协和医科大学 心血管病研究所 阜外心血管病医院 冠心病研究室(100037)
关键词：
中国循环杂志99zk109 目的：探讨成人与儿童先天性心脏憩室的临床特点。
方法：将我院经心脏造影或手术证实为先天性心脏憩室的9例患者分为成年组4例，平均年龄59.3±7.6岁(50～68岁)；儿童组5例，平均年龄6.5±4.4岁(2.5～14岁)，对其临床资料进行回顾性分析。
结果：①4例成人患者皆因合并冠心病在冠状动脉及左心室造影检查时被偶然发现。5例儿童患者中4例因并存其它严重先天性心脏畸形而施行外科矫治手术时被确诊，另1例经左心室造影证实。②4例成人先天性心脏憩室的平均憩室瘤体径为36.3±11.8 mm(20～48 mm),憩室颈径为14.0±2.9 mm(10～17 mm);5例儿童患者的平均憩室瘤体径42.0±22.0 mm(25～80 mm),憩室颈径为8.6±3.9 mm(4～12 mm)。③4例成人患者均为孤立性左心室肌型憩室，无与憩室有关的并发症，未行手术治疗；5例儿童患者中仅1例为弧立性左心室肌型憩室；其余4例(左心室和右心室双心室肌型憩室1例，右心室肌型憩室2例和左心房纤维型憩室1例)均根据其并存的心脏畸形类型分别接受了憩室缝合术和心房、心室间隔修补术，三尖瓣成形术，二尖瓣替换术或动脉导管结扎术等治疗。
, http://www.100md.com
结论：成人(中、老年)与儿童先天性心脏憩室的临床特点有许多不同之处。
Analysis of Clinical Features of Congenital Cardiac Diverticulum in Adults and Children (Abstract)
Division of Coronary Heart Disease, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037)
You Shijie, Yao Min, Li Lin, et al.
Objective: To elucidate the different clinical features between adults and children with congenital cardiac diverticulum.
, 百拇医药
Methods: The clinical characteristic of patients with congenital cardiac diverticulum confirmed by ventriculograpyhy or surgical operation in nine cases in our hospital were analyzed retrospectively. Four cases were adults with a mean age of 59.3±7.6 years (50～68 years); and 5 were children of age 6.5±4.4 years (2.5～14 years).
Results: ① Four adults with the left ventricular diverticulum were all incidentally discovered and confirmed by left ventriculography for differential diagnosis. Five children were confirmed in corrected operation for other severe congenital heart malformation. ② The average diameter of the diverticulum were 36.3±11.8 mm (20～48 mm) and the neck of diverticulum were 14.0±2.9 mm (10～17 mm) in 4 adults; while the average diameter of the diverticulum were 42.0±22.0 mm (25～80 mm) and the neck of diverticulum were 8.6±3.9 mm (4～12 mm) in 5 children. ③ All adult patients had isolated left ventricular muscular diverticulum with no related complications thus did not been operated. All children, 1 with isolateral left ventricular muscular diverticulum, with bioverticular muscular diverticulum, 2 with right ventricular muscular diverticulum, and 1 with left atrial fibrous diverticulum, underwent surgical operation such as suturation of the diverticulum and repairing of atrial or verticular septum, valvuloplasty of tricuspid valve, replacement of mitral valve or ligation of artery duct, according to the types of congenital heart anomales.
Conclusion: There are many different clinical features between adults (older and middle) and children with congenital cardiac diverticulum., http://www.100md.com
单位：北京市，中国医学科学院 中国协和医科大学 心血管病研究所 阜外心血管病医院 冠心病研究室(100037)
关键词：
中国循环杂志99zk109 目的：探讨成人与儿童先天性心脏憩室的临床特点。
方法：将我院经心脏造影或手术证实为先天性心脏憩室的9例患者分为成年组4例，平均年龄59.3±7.6岁(50～68岁)；儿童组5例，平均年龄6.5±4.4岁(2.5～14岁)，对其临床资料进行回顾性分析。
结果：①4例成人患者皆因合并冠心病在冠状动脉及左心室造影检查时被偶然发现。5例儿童患者中4例因并存其它严重先天性心脏畸形而施行外科矫治手术时被确诊，另1例经左心室造影证实。②4例成人先天性心脏憩室的平均憩室瘤体径为36.3±11.8 mm(20～48 mm),憩室颈径为14.0±2.9 mm(10～17 mm);5例儿童患者的平均憩室瘤体径42.0±22.0 mm(25～80 mm),憩室颈径为8.6±3.9 mm(4～12 mm)。③4例成人患者均为孤立性左心室肌型憩室，无与憩室有关的并发症，未行手术治疗；5例儿童患者中仅1例为弧立性左心室肌型憩室；其余4例(左心室和右心室双心室肌型憩室1例，右心室肌型憩室2例和左心房纤维型憩室1例)均根据其并存的心脏畸形类型分别接受了憩室缝合术和心房、心室间隔修补术，三尖瓣成形术，二尖瓣替换术或动脉导管结扎术等治疗。
, http://www.100md.com
结论：成人(中、老年)与儿童先天性心脏憩室的临床特点有许多不同之处。
Analysis of Clinical Features of Congenital Cardiac Diverticulum in Adults and Children (Abstract)
Division of Coronary Heart Disease, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037)
You Shijie, Yao Min, Li Lin, et al.
Objective: To elucidate the different clinical features between adults and children with congenital cardiac diverticulum.
, 百拇医药
Methods: The clinical characteristic of patients with congenital cardiac diverticulum confirmed by ventriculograpyhy or surgical operation in nine cases in our hospital were analyzed retrospectively. Four cases were adults with a mean age of 59.3±7.6 years (50～68 years); and 5 were children of age 6.5±4.4 years (2.5～14 years).
Results: ① Four adults with the left ventricular diverticulum were all incidentally discovered and confirmed by left ventriculography for differential diagnosis. Five children were confirmed in corrected operation for other severe congenital heart malformation. ② The average diameter of the diverticulum were 36.3±11.8 mm (20～48 mm) and the neck of diverticulum were 14.0±2.9 mm (10～17 mm) in 4 adults; while the average diameter of the diverticulum were 42.0±22.0 mm (25～80 mm) and the neck of diverticulum were 8.6±3.9 mm (4～12 mm) in 5 children. ③ All adult patients had isolated left ventricular muscular diverticulum with no related complications thus did not been operated. All children, 1 with isolateral left ventricular muscular diverticulum, with bioverticular muscular diverticulum, 2 with right ventricular muscular diverticulum, and 1 with left atrial fibrous diverticulum, underwent surgical operation such as suturation of the diverticulum and repairing of atrial or verticular septum, valvuloplasty of tricuspid valve, replacement of mitral valve or ligation of artery duct, according to the types of congenital heart anomales.
Conclusion: There are many different clinical features between adults (older and middle) and children with congenital cardiac diverticulum., http://www.100md.com