儿科异质性综合征中的多系统表型谱:一个案例系列
Trisha G Mukherjee1, Kyle E Thurmann1, Randy R Richardson2
1School of Medicine, Creighton University School of Medicine, Phoenix, USA.
Cureus
|October 6, 2025
概括
异质性综合征是一种器官安排的先天性障碍,会带来各种挑战. 这一案例系列强调了心房异构的各种表现,强调了在管理这些复杂的疾病时需要进行彻底的评估和多学科的护理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 发展生物学 发展生物学
背景情况:
- 异质性综合征涉及异常的左右身体轴模式.
- 它经常表现为复杂的先天性心脏病和心脏外异常.
- 显著的表型变异性使诊断和管理复杂化.
研究的目的:
- 报告三例儿科异质毒性综合征的病例,按心房异构分类.
- 为了说明异质毒性综合征内的各种临床和解剖学表现.
- 强调全面评估和多学科管理的重要性.
主要方法:
- 一系列病例报告了三名患有异质毒性综合征的儿科患者.
- 基于心房异构的分类:两个左心房异构 (LAI) 和一个右心房异构 (RAI).
- 详细描述心脏和心脏外异常,手术/医疗干预以及结果.
主要成果:
- 病例1 (LAI,多囊症):出现AVSD,TAPVC,心脏阻塞;经过分阶段的手术修复并保持稳定.
- 病例2 (RAI,阿斯普利尼亚):呈现复杂的蓝色心脏病,无法壮成长;在医疗治疗下稳定,等待双心室修复.
- 病例3 (LAI,多呼吸症):由于左肺衰老而出现严重的呼吸困扰;接受了支持性护理.
结论:
- 异质性综合征在解剖学和临床概况中表现出显著的异质性.
- 个性化,多学科的管理对于优化结果至关重要.
- 基因检测是非诊断的,尽管在这些案例中存在广泛的异常.
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