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目的探讨胎儿及围生儿先天性心脏病的病理特点。方法对243例先天性心脏病的胎儿及围生儿进行尸检分析。结果胎儿及围生儿先心病检出率为19.6%,其中城区占24.4%,居各类畸形之首,常见的依次为婴儿型主动脉缩窄、心室发育不良、单干动脉及完全性大动易位等;乡镇占15.3%,居各类畸形的第2位。致死性畸形城区多于乡镇;复合畸形乡镇多于城区。结论城区(北京市)先心病的检出率高于乡镇地区(吕梁地区),且检出率与孕周有关。
Objective To investigate the pathological features of fetal and perinatal congenital heart disease. Methods 243 cases of congenital heart disease fetus and perinatal autopsy analysis. Results Fetal and perinatal congenital heart disease detection rate was 19.6%, of which 24.4% of urban areas, ranking first in all kinds of deformities, followed by common infantile aortic constriction, ventricular dysplasia, aortic and complete easy to move Bit, etc .; towns and towns accounted for 15.3%, ranking second in all kinds of deformity. More fatal deformity than the township of urban areas; complex deformities township more than urban areas. Conclusions The detection rate of congenital heart disease in urban area (Beijing) is higher than that in rural areas (Luliang area), and the detection rate is related to gestational age.