Jarosch S, Döhlemann C
Kinderspital der Universität München.
Z Kardiol. 1989 Mar;78(3):172-80.
110 infants aged from one to 384 days without cardiovascular diseases were examined by two-dimensional echocardiography. Their body weights were 2.4 to 10 kg. Using mechanical, angular scanheads of 7.5 and 5.0 MHz, the parasternal long and short axes views, the apical long axis view, the suprasternal long and short axes views and the subxiphoidal position was searched. Long axis and short axis of the left ventricle were measured at end-diastole and at end-systole. Aorta, pulmonary artery trunk, left and right pulmonary arteries and the roots of both coronary arteries were measured off-line at end-diastole. To confirm the measurements a) vertical and horizontal diameters of orthogonal transected vessels were measured, b) some vessel diameters were measured in different views and c) 10 infants were examined by two independent observers. The result of this inter-observer examination had an agreement of 77% in the 370 measurements and an inter-observer variability of 2.4%. The measured diameters were linearily related to body weight and BSA in this age group. Also, the calculated areas and volumes of the left ventricle related linearily to body weight and BSA. To simplify the estimation of left ventricular volume a formula was derived id est: Volume of left ventricle = 9.15 x greatest short axis x greatest long axis -20. The following quotients are independent from age, body weight, height, and BSA: Pulmonary artery root/aortic root, pulmonary artery bifurcation/aortic root, pulmonary artery bifurcation/-root, left atrium/aortic root.(ABSTRACT TRUNCATED AT 250 WORDS)
对110名年龄在1至384天、无心血管疾病的婴儿进行了二维超声心动图检查。他们的体重为2.4至10千克。使用7.5兆赫和5.0兆赫的机械扇形扫描探头,寻找胸骨旁长轴和短轴切面、心尖长轴切面、胸骨上窝长轴和短轴切面以及剑突下切面。在舒张末期和收缩末期测量左心室的长轴和短轴。在舒张末期离线测量主动脉、肺动脉主干、左右肺动脉以及两支冠状动脉的根部。为了确认测量结果,a)测量正交横切血管的垂直和水平直径,b)在不同切面测量一些血管直径,c)由两名独立观察者对10名婴儿进行检查。在370次测量中,观察者间检查结果的一致性为77%,观察者间变异性为2.4%。在这个年龄组中,测量的直径与体重和体表面积呈线性相关。此外,计算出的左心室面积和容积也与体重和体表面积呈线性相关。为了简化左心室容积的估计,推导出一个公式,即:左心室容积=9.15×最大短轴×最大长轴-20。以下比值与年龄、体重、身高和体表面积无关:肺动脉根部/主动脉根部、肺动脉分叉/主动脉根部、肺动脉分叉/肺动脉根部、左心房/主动脉根部。(摘要截断于250字)