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左室双出口(DOLV)畸型是Sakakibara等1967年首次报告的。有人根据大血管位置及有无肺动脉狭窄将DOLV分为14种类型。作者经治1例四联症型DOLV的2岁男孩,报告如下。患儿于妊娠40周经剖腹娩出,生后5日起心脏有杂音、发绀。9个月时行第1次心导管检查,诊断为法鲁四联症(T/F)及动脉导管未闻(PDA)。本次入院时口唇中度发绀、杵状指、蹲踞。第Ⅱ心音亢进无分裂,胸骨左缘第2肋间可闻Levine 2/6的连续性杂音、第4助间有Levine 3/6的收缩期杂音,肝脾未触及。胸片可见心脏心房位置正常,心胸比率60%,肺血管影少。心电图QRS电轴+150°,窦性心
Left ventricular double outlet (DOLV) abnormalities were first reported by Sakakibara et al in 1967. Some people according to the location of large vessels and pulmonary stenosis will be divided into 14 types of DOLV. The author of 1 case of tetralogy of DOLV 2-year-old boy, the report is as follows. Children with cesarean delivery in 40 weeks of pregnancy, after birth on the 5th heart murmur, cyanosis. The first cardiac catheterization was performed at 9 months and was diagnosed as T / F and PDA. The hospital was moderate cyanosis lips, clubbing, squatting. Ⅱ heart sound hyperthyroidism without division, the second intercostal sternum can be heard Levine 2/6 continuous murmurs, the first 4 Levine 3/6 systolic murmur, liver and spleen not touched. Chest radiograph shows atrial heart atrial normal, cardiothoracic ratio of 60%, pulmonary vascular shadow less. ECG QRS axis + 150 °, sinus heart