中国内地先天性室壁瘤和憩室临床特征
文献的统计分析
陈红武 陈明龙 杨兵 居维竹 张凤祥 侯小锋
陈椿 单其俊 邹建刚 徐东杰 曹克将
目的分析中国内地报道的先天性 室壁瘤和憩室的临床特征。方法通过检索万方
数据库、中国知网全文数据库及PubMed数据库,获取2001年1月至2009年12月中国内地报道的先
天性室壁瘤和憩室的文献资料,并对其临床特征进行分析。结果共检索到符合
的文献109篇,
患者共116例,年龄l~80(33.5±21.3)岁,男性78例。先天性室壁瘤25例,其中包括一个家系的患
者4例,男性13例;先天性憩室91例,男性65例。100例患者因体检或胸闷不适通过超声心动图检
查出先天性室壁瘤和憩室。合并心内先天性缺陷34例,其中同时合并心外先天性缺陷4例。合并室
性心律失常8例,血栓形成8例,心脏破裂2例,猝死4例(包括家系患者3例)。外科治疗46例,射
频消融治疗3例,所有患者均未置人埋藏式心律转复除颤器。结论先天性室壁瘤和憩室是一种罕
见的先天性疾病,无症状患者可通过超声心动图检查发现。患者可能出现室性心律失常、血栓栓塞、
室壁瘤或憩室破裂、猝死等病情,需要积极干预。
心脏室壁瘤;憩室;疾病特征
Clinical characteristics of congenital ventricular aneurysm and diverticula in inland China CHEN
Hong-wuCHEN Ming-long YANG BingJU Wei-zhuZHANG Feng-xiang HOU Xiao-fengCHEN Chun
SHAN Qi-jun ZOU Jian-gang XU Dong-jieCAO Ke-jiang Department of Cardiology, First Affiliated
Hospital of Nanjing Medical University,Nanjing 210029 ,China
Objective To summarize the clinical characteristics of congenital ventricular aneurysm
and diverticula in inland China. Methods To identify the literature of congenital aneurysm and diverticula
from Wanfang, China National Knowledge Infrastructure (CNKI) and PubMed databases, and to analyze the
clinical characteristics of congenital aneurysm and diverticula from January of 2001 to December of
2009. Results A total of 116 patients [ 78 men, 1 -80 (33.5 ± 21.3) years old ] with congenital aneurysm
or diverticula were included in 109 articles. Twenty-five patients (13 men) were congenital ventricular
aneurysm, including a family of 4 patients. Ninety-one patients (65 men) were congenital ventricular
diverticula. One hundred patients were detected by echocardiography during medical examination, 34
patients combined with other cardiac anomalies, 4 of which with extracardiac structures. There were 8
patients with ventricular arrhythmia, 8 patients with thrombosis, 2 patients died of cardiac rupture, 4
patients died of sudden death, surgical operation was performed in 46 patients and 3 patients received
ablation procedure. All patient did not receive implantable cardioverter defibrillator (ICD)
implantation. Conclusions Congenital ventricular aneurysm or diverticulum is a rare cardiac malformation.
Most congenital left ventricular aneurysms and diverticula are asymptomatic and detected by
echocardiography. Congenital ventricular aneurysm or diverticulum may cause ventricular tachycardia,
ventricular wall rupture, systemic embolization or sudden death, which had to be treated individually.
Heart aneurysm; Diverticulum; Disease attributes
10. 3760/cma j. issn. 0253-3758. 2011.09. 020
基金项目:江苏高校优势学科建设
资助项目;南京医科大学
第一附属医院创新团队工程项目(IRT-004)
210029 南京医科大学第一附属医院心脏科
万方数据
结 果
万方数据
有研究显示
万方数据
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2011-03-01
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