严重先天性心脏病筛查

Screening for Critical Congenital Heart Disease.

作者信息

Oster Matthew E, Kochilas Lazaros

机构信息

Children's Healthcare of Atlanta, Atlanta, GA, USA; Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Clin Perinatol. 2016 Mar;43(1):73-80. doi: 10.1016/j.clp.2015.11.005.

DOI:10.1016/j.clp.2015.11.005

PMID:26876122

Abstract

Screening for critical congenital heart disease (CCHD) was added to the United States Recommended Uniform Screening Panel in 2011. Since that time, CCHD screening with pulse oximetry has become nearly universal for newborns born in the United States. There are various algorithms in use. Although the goal of the screening program is to identify children who may have CCHD, most newborns who have a low oxygen saturation will not have CCHD. Further study is needed to determine optimal guidelines for CCHD screening in special settings such as the neonatal intensive care unit, areas in high altitude, and home births.

摘要

2011年，对危重型先天性心脏病（CCHD）的筛查被纳入美国推荐统一筛查项目。自那时起，在美国出生的新生儿中，使用脉搏血氧仪进行CCHD筛查几乎已普及。目前使用着多种算法。尽管筛查项目的目标是识别可能患有CCHD的儿童，但大多数血氧饱和度低的新生儿并没有CCHD。需要进一步研究以确定在特殊环境下（如新生儿重症监护病房、高海拔地区和家庭分娩）进行CCHD筛查的最佳指南。