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Absent Pulmonary Valve Syndrome Associated with DiGeorge Syndrome: Report of One Case

肺動脈瓣缺失症候群合併DiGeorge症候群

摘要


一名一個月大的女嬰,因發紺、呼吸窘迫及心雜音,而轉來本院做進一步的檢查,經心臓超音波診斷爲肺動脈瓣缺失症候群。病嬰於兩月大時,因低血鈣性抽搐及肺炎再度入院,雖給予廣效性抗生素治療,但最後仍死於敗血症及心肺衰竭。病理解剖的結果顯示除肺動脈瓣缺失症群外,另合併胸腺發育不全(Digeorge syndrome)。 臨床上此種病例甚爲罕見,本文除報告其特徵外,並對此病做進一步的研究與討論。

並列摘要


A female infant presented with cyanosis, respiratory distress and unique to-and-fro murmur which she had since the age of 1-month-old. Absent pulmonary valve syndrome was diagnosed by echocardiography. She developed seizure disorders with hypocalcemia and pneumonia at the age of 2-month-old. The patient died from sepsis, intractable respiratory and heart failure. The postmortem study confirmed the diagnosis of congenital absent pulmonary valve associated with DiGeorge syndrome.

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