| 摘要: |
| 摘要 ： 目的 分析主动脉弓离断的超声误诊的原因，探讨诊断思路、方法及体会。 方法 对术前超声会诊或复查发现的5例主动脉弓离断误诊病例进行回顾性分析。结果 误诊5例超声诊断为主动脉缩窄或主动脉全程缩窄并迂曲，经手术、心血管造影及双源CT证实，其中3例A型，2例B型，3例合并动脉导管未闭，2例合并室间隔缺损，1例合并主肺动脉间隔缺损及右肺动脉异常起源于升主动脉，1例孤立性主动脉弓离断。结论 超声检查发现升主动脉、肺动脉或主动脉弓异常且肺动脉高压与心内畸形不匹配者，应高度警惕主动脉弓离断存在可能。 |
| 关键词: 超声心动图 主动脉弓离断 误诊 |
| DOI： |
| 投稿时间：2018-07-03修订日期：2018-07-18 |
| 基金项目: |
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| Analysis of Misdiagnosis Interruption of Aortic Arch |
| yanglirui,yusha |
| () |
| Abstract: |
| Abstract: Objective This paper analyzes the reason of the ultrasonic misdiagnosis of aortic arch and discusses the diagnostic thinking, methods and experience. Methods A retrospective analysis was performed on 5 cases of aortic arch isolated from preoperative ultrasonography or reexamination. Results The 5 cases of misdiagnosis were confirmed by surgery, angiography and double-source CT, of which 3 were type A, 2 cases B, and the sonogram had commonness, which was different from the combination of malformation.Two cases were combined with ventricular septal defect. One case of the main pulmonary artery septal defect and the right pulmonary artery anomaly originated from the ascending aorta, and one case of isolated aorticarch was broken. Conclusion Ultrasound examination, discovered that the ascending aorta and aortic arch drop small diameter developing, pulmonary artery significantly broadening, pulmonary hypertension and heart malformations don''t match, should be alert to the aortic arch is broken possible, carefully check the aortic arch. |
| Key words: Echocardiography ,Interrupted aortic arch , misdiagnos |
