CAJ | 학술논문

目的：探讨彩色超声多普勒对小儿细小冠状动脉-肺动脉瘘（small coronary-to-pulmonary fistula， SCPF）的诊断价值。方法回顾性分析昆明市儿童医院2011年1月至2012年1月超声诊断CPF的患儿的临床资料。结果17例CPF患儿，1例死亡病例经尸解证实。其余8例患儿血管造影证实。结论熟练掌握观察肺动脉舒张期出现“射血征”血流图像，结合彩色多普勒出现冠状动脉血流信号丰富，可以对细小冠状动脉-肺动脉瘘检出率明显提升，超声对小儿细小CPF的诊断具有重要的临床价值。
목적：탐토채색초성다보륵대소인세소관상동맥-폐동맥루（small coronary-to-pulmonary fistula， SCPF）적진단개치。방법회고성분석곤명시인동의원2011년1월지2012년1월초성진단CPF적환인적림상자료。결과17례CPF환인，1례사망병례경시해증실。기여8례환인혈관조영증실。결론숙련장악관찰폐동맥서장기출현“사혈정”혈류도상，결합채색다보륵출현관상동맥혈류신호봉부，가이대세소관상동맥-폐동맥루검출솔명현제승，초성대소인세소CPF적진단구유중요적림상개치。
Objective To discuss the diagnostic value of color Doppler echocardiography in small coronary-to-pulmonary fistula (SCPF) in children. Methods The clinical data of children who were diagnosed CPF by color Doppler echocardiography during 2011-2012 in my hospital were analyzed retrospectively. Results Seventeen cases with CAF including one diagnosed by forensic report and 8 cases diagnosed by AGA. Conclusion The results indicated that SCPF detection rate could be improved largely by observing spraying-up sign experienced in pulmonary artery diastolic combined with rich flow signal of coronary in color Doppler. In addition, it is valuable to diagnose children's SCPF by color Doppler echocardiography.