早期先天性心脏病彩超的筛查

目的及早诊断先天性心脏病（先心病），降低先心病的发病率及病死率。方法随机选取在大兴妇幼保健院定期检查的孕妇2164例，利用多普勒彩色超声心动图（简称心脏彩超），常规宫内及生后三天检查，对可疑及确诊先心病定期随访。结果宫内筛查心脏彩超显示复杂先心有19例（此19例胎儿全部被引产），生后确诊先心病有82例，先心病患病率为4．67％，婴儿期因先心病死亡两例，先心病病死率为2．44％。结论利用心脏彩超进行宫内及早期新生儿心脏检查，并定期随访，可以降低先心病死亡率及病死率。

Screening for congenital heart disease at early stage.

Objective:To diagnose congenital heart disease(CHD)earlier and To decrease the mortality and morbidity of CHD.Methods:2164 perinatal infants selected randomly in Child Health Hospital of Daxing were investigated from 2007 to 2009.Color Doppler blood flow mapping(CDFM)was used to screen CHD when Palace and the newborn within 3 days,to follow-up regularly after discharge.Results:19 cases with complex congenital heart disease were diagnosed when Palace.82 cases were diagnosed when postnatal.The incidence of CH...