摘要
为了探讨先天性心脏病的发病原因及在新生儿期的早期临床表现。通过回顾性分析 5 8例经超声心动图确诊的先心病的临床特点和发病的高危因素 ,结果发现 :心脏杂音、青紫、气促是新生儿期先心病的主要表现 ,动脉导管未闭及法乐氏四联症易合并心衰 ;先心病发病的高危因素有 :先心病家族史、合并心外畸形、宫内感染、小于胎龄儿及环境因素。对可疑病例应及时作超声心动图以早期诊断 ;当存在先心病发病高危因素时 ,应及早开展先心病的产前诊断 ,早期发现严重。
To study the cause and earlier clinical presentation of congenital heart disease(CHD) in newborn The clinical characteristic and highrisk factor of 58 patients with CHD detected by echocardiography are analyzed and discussed.A heart souffle,cyanosis and hyperpnea,these are the main displays of CHD in newborn.patent ductus arteriosus(PDA) and tetralogy of Fallot (F4) complicate with failure of heart function more frequently.The family history of CHD the other abnormality complicated besides heart,the infection of prenatal,small for gestational age (SGA) and the factors of environment,all of these are the highrisk factors of recurrence for future generation.To detect as many as possible earlier with CHD,the echocardiographic examination of the heart is needed for a suspected patient.A prenatal ultrasonic screening must be done in order to discover the fetal svere CHD earlier in highrisk pregnancies.(Original article in page 100)
出处
《新生儿科杂志》
2000年第3期100-102,共3页
The Journal of Neonatology
