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目的研究婴幼儿先天性心脏病心导管术中呼吸系统严重并发症的X线表现特点,为早期正确诊断和及时处理提供理论依据。方法回顾性分析9例心导管术中呼吸系统严重并发症的临床特点、X线表现及治疗措施。结果9例中7例发生严重的低氧血症,其中6例出现心率减慢。X线表现为两肺野透亮度降低7例,急性肺水肿1例,右上肺不张1例。经紧急处理,除肺水肿1例死亡,余病例均恢复。结论婴幼儿先天性心脏病导管术中呼吸系统严重并发症病情危急,X线表现多样,正确识别、早期诊断和治疗是抢救成功的关键。
Objective To study the X-ray manifestations of severe respiratory complications in infants with congenital heart disease during cardiopulmonary catheterization and to provide a theoretical basis for early diagnosis and timely treatment. Methods The clinical features, X-ray findings and treatment of severe respiratory complications in 9 cases of cardiac catheterization were retrospectively analyzed. Results Serum hypoxemia occurred in 7 of the 9 patients, of which 6 patients had a slowed heart rate. X-ray showed two lungs through the brightness reduction in 7 cases, 1 case of acute pulmonary edema, right upper lung atelectasis. After emergency treatment, in addition to pulmonary edema in 1 case died, the rest cases were recovered. Conclusions Serious complication of respiratory system in congenital heart disease in infants and young children is in critical condition and X-ray is various. Correct identification, early diagnosis and treatment are the keys to the successful rescue.