新生儿缺氧性心肌损伤
[Neonatal hypoxic myocardial lesion].
作者信息
Katona M
机构信息
Szent-Györgyi Albert Orvostudományi Egyetem, Gyermekgyógyászati Klinika, Szeged.
出版信息
Orv Hetil. 1991 Feb 3;132(5):255-8.
Five patients suffering from transient myocardial ischemia of the newborn are discussed. The role of two-dimensional doppler-echocardiography is emphasized in establishing the diagnosis. Tricuspid insufficiency due to perinatal asphyxia can be detected easier by ultrasound than by any other cardiac examination. Cardiac failure as a result of hypoxic myocardial ischemia is usually reversible and responds well to anticongestive treatment and administration of oxygen. On the other hand some cases can be fatal, histopathologic examination on the heart shows similarity to myocardial infarction.
本文讨论了5例新生儿短暂性心肌缺血患者。强调了二维多普勒超声心动图在确立诊断中的作用。围产期窒息所致三尖瓣关闭不全通过超声比其他任何心脏检查更容易检测到。缺氧性心肌缺血导致的心力衰竭通常是可逆的，对抗充血治疗和吸氧反应良好。另一方面，有些病例可能是致命的，心脏组织病理学检查显示与心肌梗死相似。
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