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主动脉窦动脉瘤21例临床分析

AORTIC SINUS ANEURYSM: CLINICAL ANALYSIS OF 21 CASES

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【作者】 陈国经黄震东

【Author】 Chen Guojing

【机构】 广东省心血管病研究所广东省心血管病研究所

【摘要】 <正> 主动脉窦动脉瘤(简称窦瘤),曾认为是一种少见的心血管病,但随着诊断技术的进步,本病发现率显著增加。国内于1958~1981年发现本病203例。我院从1972~1982年7月,经手术证实的窦瘤有21例,报告如下。临床资料一、起病情况:男16例,女5例,男女比例约3:1。年龄分布为11~52岁,其中11~19岁6例,20~40岁12例,41~52岁3例,平均年龄24岁,以青壮年居多。本组中自小发现有心脏病13例(62%),平素“健康”5例(24%),过去史不详3例(14%)。起病有

【Abstract】 21 cases of aortic sinus aneurysm were operated from January 1972 to July 1982. Among them, 16 were male and 5 were female. The age ranged from 11-52. Aneurysm ruptured in 16 cases and 5 were without rupture. The onset of symptoms was sudden in 10 and insidious in11. The aneurysms were found to be originating from right coronary sinus in 20, and from noncoronay sinus in one, 12 cases were ruptured into the right ventricle and into the right ventricular outflow tract in 4. Associated cardiac anomalies found in 21 cases showing VSD in 16 (76%), AI in 2. After surgery, 17 patients recovered and 4 died postoperatively. The value of surgical treatment in such patients was emphasized.

  • 【文献出处】 广东医学 ,Guangdong Medical Journal , 编辑部邮箱 ,1985年07期
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