新生儿先天性心脏病早期诊断

[目的]为提高临床诊断率,降低先心病病死率及致残率,总结新生儿先天性心脏病患者早期诊断特点。[方法]选择2008年1月～2010年12月住院新生儿科的先心病患儿共61例,所有患儿均经过彩色多普勒超声明确诊断,回顾分析心儿先天性心脏病临床特征性表现及各辅助检查结果。[结果]彩超查显示,新生儿先天性心脏病中以室间隔缺损居多,其次为房间隔缺损。CR拍片显示心影扩大者20例(32.7%),肺野淤血者16例(26.2%),肺野缺血者9例(14.8%)。心电图检查显示右室肥厚者20例(32.7%),心电左偏者9例(14.8%),心率不整者8例(13.1%),室上性心动过缓者3例(4.9%),s-T段压低者1例(1.6%)。[结论]新生儿先天性心脏病缺乏特征性临床表现,以气促多见,以室间隔缺损病理类型居多,辅助诊断方法中,彩超检查具有特有的优势。

EARLY DIAGNOSIS OF CONGENITAL HEART DISEASE

[Objective]To improve the diagnosis rate,reduce mortality and morbidity of congenital heart disease,summarize the early diagnosis of congenital heart disease characteristics.[Methods]From January 2008-December 2010,61 neonatal children with congenital heart disease admitted to our hospital were diagnosed by color Doppler ultrasound,retrospectively analyzed to the clinical features of children with congenital heart disease performance and auxiliary examination.[Results]The color Doppler ultrasound investigat...