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目的 :对高海拔地区 6 5例小儿房间隔缺损 (ASD)、室间隔缺损 (VSD)病儿进行观察分析 ,从而为本病的早期防治提供一定的临床依据 ;方法 :通过询问病史、体征、心电图、X线、超声心动图等检查以及手术治疗来证实 ;结果 :6 5例先天性心脏病 (CHD)中ASD5 1例、VSD1 4例 ;茫崖地区 41例 ,冷湖地区 2 8例 ,大柴旦地区 6例 ;已手术治疗 40例 ,学龄前儿童 2 5例 ,术后生长发育同正常儿 ;学龄前儿童 1 5例 ,其中 4例术后并发心肌缺血、心律失常 ,短期内右室肥大征象仍存在 ;结论 :高原缺氧环境及其母妊娠早期的病毒感染可影响胎儿的发育 ,造成先天心脏发育畸形 ,并建议手术于学龄前期进行为宜。
Objective: To observe and analyze 65 cases of atrial septal defect (ASD) and ventricular septal defect (VSD) in high altitude area and to provide some clinical evidence for the prevention and treatment of this disease.Methods: Electrocardiogram, X-ray, echocardiography and surgical treatment. Results: 1 case of ASD5 and 4 cases of VSD1 were found in 65 cases of congenital heart disease (CHD), 41 cases in Mangya area, 28 cases in Lenghu area, There were 6 cases in Dachaidan area, 40 cases had been treated surgically, 25 cases had preschool children, 15 cases had growth and development after operation, 15 cases had preschool children, 4 cases had myocardial ischemia, arrhythmia and short-term Conclusion: Hypoxia in the plateau and early mother’s virus infection may affect the development of the fetus, resulting in congenital heart malformations, and recommended that surgery should be carried out in preschool age is appropriate.