從胸部X光片診斷小兒先天性心臟病及116個案分析

Plain Chest film Diagnosis of Pediatric Congenital Heart Disease and 116 Cases Analysis

蔡長晃(Chang-Huang Tsai)

《中華放射線醫學雜誌》 3卷3期 (1978/09) Pp. 200-206

摘要

複閱116個經心導管術分析、心臟血管攝影(100%)，及心臟矯治手術(73%)證實為小兒先天性心臟病個案的病歷及原始的正面站立的胸部X光片。依照片中肺脈紋變化的情形而分類研究，肺脈紋增加者有72%，而減少者有28%。在本文的研究中，常見發病率的序列為心室中隔缺損(V. S. D.) (46.6%)，法祿氏四畸形(tetralogy of Fallot) (23.2%)及開放的動脈導管症(P. D. A.) (12.9%)，共佔所有個案的83%。正確的照相位置，良好的曝光所得的照片，並經正確的片中影像觀察，再參考發病率及臨床的資料，將有助於從原始的胸部照片中得到正確的診斷。

並列摘要

Plain frontal chest films of 116 cases of pediatric congenital heart disease, which were proved by cardiac catheterization, cardicangiogram (100%) and cardiac surgery (73%) from Spill, 1977 to March, 1978 were reviewed and classified according to pulmonary vascularity. 72% of patients were pulmonary hypervascular, and 28% were pulmonary hypovascular.
Ventricular septal defect, tetralogy of Fallot, and patent ductus arteriosus accounted for 83% of the cases in this series. A correctly positioned, well exposed chest film in the frontal projection was of great help in establishing a specific cardiac diagnosis. Certain basic observations from the frontal chest film were: pulmonary vascularity, heart size (C.T.R.) and heart configuration, Awareness of the incidence along with other readily available data such as sex, age, and clinical, manifestations are useful adjuncts in reaching the correct conclusion from the conventional frontal chest roentgenogram.