Department of Neonatology, John Hunter Hospital and University of Newcastle, Newcastle, Australia.
Early Hum Dev. 2010 Mar;86(3):149-54. doi: 10.1016/j.earlhumdev.2010.01.030. Epub 2010 Feb 21.
Functional echocardiography (fECHO) is the bedside use of ultrasound to longitudinally assess myocardial function, systemic and pulmonary blood flow, and intra and extracardiac shunts. This review will focus on fECHO as a tool for the clinician to assess the hemodynamic condition of sick neonates and describe situations where fECHO can help determine a pathophysiological choice for cardiovascular support. The very low birth weight infant with hypotension during the first 24h of life, assessment and monitoring of the ductus arteriosus, assessment and response to treatment of infants with pulmonary hypertension, the infant with perinatal asphyxia and the infant with sepsis and cardiovascular compromise are reviewed. Close cooperation with pediatric cardiology, proper logistics and training programs are mandatory to achieve a 24h a day fECHO service run by bedside clinicians.
功能超声心动图（fECHO）是在床边使用超声技术，对心肌功能、体循环和肺循环血流以及心内外分流进行纵向评估。本篇综述将重点关注 fECHO 作为临床医生评估患病新生儿血流动力学状况的工具，并描述在哪些情况下 fECHO 可以帮助确定心血管支持的病理生理学选择。本文回顾了在生命的头 24 小时内低血压的极低出生体重儿、动脉导管未闭的评估和监测、肺动脉高压患儿的评估和治疗反应、围产期窒息儿以及伴有心血管功能障碍的败血症患儿。需要与儿科心脏病学密切合作、合理的后勤和培训计划，才能实现由床边临床医生提供的 24 小时 fECHO 服务。
