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題名 | 具存開性動脈管病人之降主動脈氣球阻塞血管攝影術 |
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作者姓名(中文) | 吳俊仁; 黃德揚; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 30:2 民78.03-04 |
頁次 | 頁105-110 |
分類號 | 415.31 |
關鍵詞 | 存開性動脈管病人; 降主動脈氣球阻塞血管攝影術; |
語文 | 中文(Chinese) |
中文摘要 | 在右心導檢查時,以末端有圓形氣球之Berman心導管,從肺動脈,經存開性動脈管(PDA)或由右心室經心室中隔缺損,昇主動脈到達胸主動脈之中央,再以二氣化碳把氣球吹開而將主動脈完全塞住,打適量造影劑做左側位置之血管攝影,此時血液往上逆流到主動脈弓,PDA,肺循環及左側心臟之循環。以本方法檢查2個月到3歲,共27例先天性心臟病病人,發現20位PDA,3位PDA合併心室中隔缺損,2位嬰兒型主動脈縮窄合併PDA及心室中隔缺損,2位法洛氏四重症併有嚴重肺動脈狹窄及PDA。所有病人均能看到清晰圖片及病變所在。因本法只做右心導管檢查即可照出左心血管之圖形,故可減少心導管操作時間,且用較少的造影劑,也能看到清晰影像,又沒有發生副作用,尤其適用於危險重症嬰兒之心導管檢查。 |
英文摘要 | Twenty-seven patients, aged 2 months to 3 years, underwent thoracic aorta angiography with balloon inflation during right heart catheterization and cineangiography. The balloon-tipped catheter was manipulated either from the right ventricle to main pulmonary artery and then through patent ductus arteriosus (PDA) or from the right ventricle through ventricular septal defect (VSD) to ascending aorta and to midthoracic aorta where the balloon was fully inflated with carbon dioxide. After satisfactory positioning of the inflated balloon, contrast medium was administrated via power injector with a volume of 1.5ml/kg and a flow rate of 10ml/sec. Cineangiograms of left lateral projection were obtained. The blood was seen clearly from the thoracic aorta to aortic arch, and also through the PDA to pulmonary vessels. On the late films, left heart chambers were also opacified. Areas of anatomic interest were well visualized in 20 cases of isolated PDA, three of PDA with VSD, two of infantile coarctation of aorta with PDA and VSD, two of tetralogy of Fallot with severe pulmonic stenosis and PDA. This procedure is simple and effective in visualizing the PDA and also, in many occasions, other associated cardiac anomalies. Conventional left heart catheterization and cineangiography could thus be omitted in some cases of congenital heart diseases. There were no untoward complications observed during and after the procedure. This technique is useful especially in critically ill infants. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。