Al-Biltagi Mohammed A
Mohammed A Al-Biltagi, Paediatric Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt.
World J Clin Pediatr. 2013 Nov 8;2(4):36-45. doi: 10.5409/wjcp.v2.i4.36.
Congenital heart disease is a common problem in children with Down syndrome (DS). Echocardiography plays an important role in the detection of both structural and functional abnormalities in this group of patients. Fetal echocardiography can help in the early recognition of DS by detecting soft markers of DS, but its main role is to define the exact nature of the suspected cardiac problem in the fetus. Postnatal echocardiography is mandatory in the first month of life for all neonates with DS. It is also indicated before any cardiac surgery and for serial follow-up after cardiac surgery. In this article, we discuss the types and mechanism of cardiac abnormalities in DS children and the role of both fetal and postnatal echocardiography in the detection of these abnormalities.
先天性心脏病是唐氏综合征（DS）患儿的常见问题。超声心动图在检测这类患者的结构和功能异常方面发挥着重要作用。胎儿超声心动图可通过检测唐氏综合征的软指标来帮助早期识别唐氏综合征，但其主要作用是明确胎儿疑似心脏问题的确切性质。对于所有唐氏综合征新生儿，出生后第一个月内进行超声心动图检查是必需的。在任何心脏手术前以及心脏手术后的系列随访中也都需要进行。在本文中，我们讨论了唐氏综合征患儿心脏异常的类型和机制，以及胎儿和出生后超声心动图在检测这些异常中的作用。
