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本文通过分析经手术治疗的６０例室缺Ｘ线、二维超声心动图、右心导管与手术所见的关系认为：１、Ｘ线平片对绝大多数单发缺损及典型多发缺损都能作出正确诊断，缺损小、分流量少时平片诊断价值明显受限。缺损大或隔瓣后缺损易引起肺动脉高压及右房增大，本组出现右房增大４５％，平片误诊８例中有４例因右房增大而误诊为房缺，因此在鉴别诊断时要充分认识这一点。２、二维超声心动图检查为无创性、简单、快速，诊断准确可靠，是检查先心病的首选方法。３、右心导管检查可检测右心房室及肺动脉的压力和血氧，并能计算分流量大小，对制定手术方案有重要意义，但血氧的影响因素较多，缺损小分流量少时也容易漏诊，诊断时对上述检查资料需全面分析，避免误诊。
In this paper, by analyzing the surgical treatment of 60 cases of ventricular lack of X-ray, two-dimensional echocardiography, right heart catheter and the relationship between the surgery that: 1, X-ray on the vast majority of single defect and the typical multiple defects To make the correct diagnosis, small defect, sub-flow when the plain film is significantly limited diagnostic value. Defect or septal defect easily lead to pulmonary hypertension and right atrial enlargement, the group appeared right atrial enlargement 45%, 8 cases of plain film misdiagnosis in 4 cases because of right atrial enlargement misdiagnosed as atrial septal defect, so in the identification Diagnosis should fully understand this point. 2, two-dimensional echocardiography for non-invasive, simple, rapid, accurate and reliable diagnosis, is the preferred method of examination of congenital heart disease. Right heart catheterization can detect the right atrium and pulmonary artery pressure and blood oxygen, and can calculate the size of the shunt, is of great significance in the development of surgical programs, but more influencing factors of oxygen, small defect traffic flow is also easy Misdiagnosis, diagnosis of the above examination data needs a comprehensive analysis to avoid misdiagnosis.