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摘要: 本文报道1例先天性心脏病(室间隔和房间隔缺损)术后半年出现面部及双上肢浮肿的患儿，评估符合上腔静脉综合征，患儿经上腔静脉血栓清除术后顺利出院。但术后1个月余患儿再次面部浮肿，复查超声出现上腔静脉中远段管腔局限性狭窄，遂行上腔静脉重建的介入支架植入术，患儿转危为安。Abstract: This article reported that the case of a child developed facial and upper extremity edema half a year after the congenital heart disease(ventricular septal defect and atrial septal defect). The patient was diagnosed as superior vena cava syndrome, and then he was discharged successfully after removal of superior vena cava thrombosis. However, more than 1 month after surgery, the child had facial edema again. The patient was diagnosed with limited stenosis of the middle and distal segments of the superior vena cava, and the reconstruction of the superior vena cava was performed. Finally, the child survived the crisis.
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Key words:
- superior vena cava syndrome /
- obstruction /
- edema /
- thrombosis /
- congenital heart disease /
- echocardiography
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图 1 患儿先心病二次术前的影像学结果符合SVCS
Figure 1. Imaging findings before the second operation were consistent with the SVCS in congenital heart disease
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