床旁彩色多普勒超声心动图对NICU患儿诊断价值.docVIP

床旁彩色多普勒超声心动图对NICU患儿诊断价值[摘要] 目的：探讨床旁彩色多普勒超声心动图在新生儿重症监护室（NICU）中的应用价值。方法：选取2008年1月~2010年5月使用美国GE-vivid-i便携式床旁彩超诊断仪对NICU新生儿中临床疑似先天性心脏病（CHD）的341例患儿进行心脏彩超检查，采用胸骨旁、剑突下、心尖及胸骨上窝等多切面反复探查，CHD按心脏三级顺序分段法检查并作出诊断。结果：床旁超声心动图检出CHD患儿256例，其中非紫绀型先天性心脏病96例，紫绀型先天性心脏病82例，卵圆孔未闭31例，动脉导管未闭26例，二者并存12 例，瓣膜反流2例，假腱索7例。NICU多为早产儿及新生儿，较为常见的心内分流为卵圆孔未闭，其与动脉导管未闭在未来均有闭合的可能，不诊断为先天性心脏病。结论：床旁彩色多普勒超声心动图可为患儿提供可靠的诊断信息，为进一步检查和治疗提供可靠依据 [关键词] 床旁超声心动图；新生儿重症监护室；新生儿；先天性心脏病 [中图分类号] R540.4+5 [文献标识码] B [文章编号] 1673-7210（2011）12（a）-105-02 Diagnose value of bedside color doppler echocardiography to children in neonatal intensive care unit FENG Jun, CHANG Fengling Department of Ultrasonography, the Central Hospital of Xinxiang City, He′nan Province, Xinxiang 453000, China [Abstract] Objective: To investigate the application value of bedside color doppler echocardiography in neonatal intensive care unit (NICU). Methods: 341 neonates in NICU suspected with congenital heart disease (CHD) were received color echocardiography examination with the American GE-vivid-i portable bedside color echocardiography from August 2008 to May 2010 by repeated search from multiple sections such as parasternum, infraxiphoid, apex cordis and suprasternal fossa. The CHD was examined and diagnosed by the heart tertiary sequence sectioning method. Results: 256 children were diagnosed with CHD by bedside color doppler echocardiography detection, 96 children were non-cyanotic and 82 children were cyaotic. 31 children were patent foramen ovale, 26 patent ductus arteriosus, 12 both, 2 valvular regurgitation and 7 false chordae tendineae. Children in the NICU were mostly premature infants and neonates, for who the more common intracardiac shunt was patent foramen ovale. Patent foramen ovale and patent ductus arteriosus were likely to close in the future, which was not diagnosed with CHD. Conclusion: Bedside color Doppler echocardiography can provide reliable diagnosis information for children and provide reliable evidence for further