床旁彩色多普勒超声心动图对nicu患儿的诊断价值

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1、床旁彩色多普勒超声心动图对NICU患儿的诊断价值［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®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，其中非紫纟甘型先天性心脏病96例，紫纟甘型先天性心脏病82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

2、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。例，卵孔未闭31例，动脉导管未闭26例，二者并［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)-105-02DiagnosevalueofbedsidecolordopplerechocardiographytochildreninneonataIintensivecareunitFENGJun,CHANGFenglingDepar

3、tmentofUltrasonography,theCentralHospitalofXinxiangCity,He'nanProvinee,Xinxiang453000,China[Abstract]Objective:Toinvestigatetheapplicationvalueofbedsidecolordopplerechocardiographyinneonatalintensivecareunit(NICU).Methods:341neonatesinNICUsuspectedwithcongenitalheartdisease(CHD)werereceivedcolorec

4、hocardiographyexaminationwiththeAmericanGE-vivid-iportablebedsidecolorechocardiographyfromAugust2008toMay2010byrepeatedsearchfrommultiplesectionssuchasparasternum,infraxiphoid,apexcordisandsuprasternalfossa・TheCHDwasexaminedanddiagnosedbythehearttertiarysequeneesecHoningmethod・Results:256childrenw

5、erediagnosedwithCHDbybedsidecolordopplerechocardiographydetect!on,96childrenwerenon-cyanoticand82childrenwerecyaotic・31childrenwerepatentforamenovale,26patentductusarteriosus,12both,2valvularregurgitationand7falsechordaetendineae.ChildrenintheNICUweremostlyprematureinfantsandneonates,forwhothemore

6、commonintracardiacshuntwaspatentforamenovale・Patentforamenovaleandpatentductusarteriosuswerelikelytocloseinthefuture,whichwasnotdiagnosedwithCHD・Conclusion:BedsidecolorDopplerechocardiographycanprovidereliablediagnosisinformationforchildrenandprovidereliableevidenceforfurtherexaminationandtreatmen

7、t.[Keywords]Bedsidecolordopplerechocardiography;NICU;Neonate;CHD床旁超声心动图检查是在常规超声心动图室以外紧急协助诊断心血管及相关急症而进行的超声心动图检查，NICU尤其是早产儿及新生儿患复杂型先天性心脏病的比例较高，且病情变化快，NICU患儿多存在呼吸困难等症状，多数患儿需要吸氧，部分患儿不能脱离呼吸机，因此使用便携式彩超诊断仪到患儿床旁进行检查，避免了患