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1984年我们对太原市2月～14岁散居小儿和小学生3105人,男1724人,女1381人,有组织地进行全身体格检查,着重作心脏检查,辅助心电图、X线、必要时超声心动图检查。1岁以下分为二组,1～14岁,每岁为一组,平均每组221.8人(150～347人)。发现(1)良性心律失常416人(占受检人中的13.14％),可见12种类型心律失常;(2)良性心杂音发生率为1494人(占受检者的48.26％);不同年龄发现心杂音部位不同;1～2/6级收缩期杂音占96.32％,3/6级收缩期杂音占3.68％;(3)先天性心脏病:共9例(占受检者的2.90‰)。本文对心律失常和心杂音的性质鉴别进行讨论,以区分良性或病理性。指出由于不能正确区分其性质,以致临床使用不必要的药物治疗,甚至强迫住院卧床休息,造成病儿和家长心理上和经济上不应有的负担,影响学龄儿童正常生活学习。作者认为此一工作要更深入调研,并有计划地随访观察。
In 1984, we conducted a total of 3105 diasporas and pupils in diaspora from February to 14 in Taiyuan City, with 1724 males and 1381 females. The physical examinations were performed in an organized manner, focusing on cardiac examination, electrocardiogram, X-ray, and echocardiography when necessary an examination. Under 1 year old is divided into two groups, 1 to 14 years old, a group of each year, with an average of 221.8 people (150 ~ 347). The results showed that: (1) 416 people with benign arrhythmia (accounting for 13.14% of the subjects) showed 12 types of arrhythmia; (2) the incidence of benign heart murmur was 1494 (accounting for 48.26% of the subjects) 1 to 2/6 systolic murmur accounted for 96.32%, 3/6 systolic murmur accounted for 3.68%; (3) congenital heart disease: a total of 9 cases (accounting for subjects 2.90 ‰) . This article discusses the characterization of arrhythmias and heart murmurs to distinguish benign or pathological. It points out that psychologically and economically unbearable burden on sick children and parents can affect their normal life learning because they can not correctly distinguish their nature, so that clinical use of unnecessary medical treatment and even forced hospitalization in bed. The author believes that this work should be more in-depth research, and planned follow-up observation.