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目的:研究心脏彩超在新生儿先天性心脏病中的应用价值。方法:选取我院产科2012年9月至2015年1月间出生的400例新生儿的临床资料,新生儿均接受心脏彩超检查,分析先天性心脏病患儿的检出情况。结果:1在400例新生儿中,经心脏彩超检出35例先天性心脏病患儿,检出率为8.75%。2室间隔缺损患儿在肺动脉主干内径、左室舒张末期内径、左室收缩末期内径上与对照组相比有统计学意义(P<0.05)。动脉导管未闭患儿在肺动脉主干内径、右心室前壁厚度、左室舒张末期内径、左室收缩末期内径上对比有统计学意义(P<0.05)。房间隔缺损患儿在肺动脉主干内径、右室横径、右室前后径上与正常新生儿相比有统计学意义(P<0.05)。结论:心脏彩超检查可以对新生儿先天性心脏病进行筛查,临床应用有着较高的价值,便于做到早诊断、早治疗。
Objective: To study the value of echocardiography in neonates with congenital heart disease. Methods: The clinical data of 400 newborns born in our hospital from September 2012 to January 2015 were selected. All newborns were examined by echocardiography and the detection of children with congenital heart disease was analyzed. Among 400 neonates, 35 children with congenital heart disease were detected by color Doppler ultrasonography, the detection rate was 8.75%. There were significant differences between the two groups (P <0.05) in the diameter of the main pulmonary artery, the diameter of the left ventricular end-diastolic axis and the diameter of the end-systolic left ventricle in children with ventricular septal defect. In children with patent ductus arteriosus, there were significant differences in the diameter of the main pulmonary artery, the anterior wall of the right ventricle, the end-diastolic diameter of the left ventricle and the end-systolic diameter of the left ventricle (P <0.05). Atrial septal defect in children with pulmonary artery diameter, right ventricular diameter, anteroposterior diameter of the right ventricle compared with normal newborns was statistically significant (P <0.05). Conclusion: Echocardiography can screen neonatal congenital heart disease, and its clinical application has a high value for early diagnosis and early treatment.