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关于出生后第一年中室间隔缺损的演变过程,曾有过一些研究。但对大于1岁的室间隔缺损患者尚未广泛研究,本文旨在探索本病其后岁月的演变过程。本组病例共790例,其中仅19％<1岁,59％>5岁,17％>15岁。除单纯室间隔缺损者外,尚包括并有肺动脉于狭窄(有青紫者除外)、主动脉瓣关闭不全以及其他较次要的心血管畸形者,但并有法乐氏四联症、大血管错位、主动脉瓣口或峡部狭窄等复杂畸形者不包括在内。随访期>5年者435人,>10年者196人,>15年者67人。70％病人无症状。所有病例均有收缩期杂音,86％伴震颤。70％病人心脏大小正常或轻度增大,30％明显增大。562例(72％)至少作过1次心导管,按Fyler氏分类,Ⅰ组占38％,Ⅱa组占28％,Ⅱ_b组占17％,Ⅲ组4％,Ⅳ组占
There have been some studies on the evolution of VSD in the first year after birth. However, the study of ventricular septal defects in patients older than 1 year has not been extensively studied. This article aims to explore the evolution of this disease in subsequent years. The group of patients a total of 790 cases, of which only 19% <1 year old, 59%> 5 years old, 17%> 15 years old. In addition to simple ventricular septal defect, but also include pulmonary artery stenosis (except with cyanosis), aortic regurgitation, and other less important cardiovascular malformations, but with tetralogy of Fallot, large blood vessels Misplaced, aortic valve orifice or isthmus and other complex deformities are not included. Follow-up period> 5 years, 435 people,> 10 years, 196 people,> 15 years, 67 people. 70% of patients asymptomatic. All cases had systolic murmur, 86% with tremor. 70% of patients with normal or mild heart size, 30% increased significantly. 562 patients (72%) had at least one cardiac catheterization. According to Fyler’s classification, group I accounted for 38%, group IIa 28%, group II_b 17% and group III 4%, group IV