Sánchez Luna Manuel, Pérez Muñuzuri Alejandro, Sanz López Ester, Leante Castellanos José Luis, Benavente Fernández Isabel, Ruiz Campillo César W, Sánchez Redondo M Dolores, Vento Torres Máximo, Rite Gracia Segundo
Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España.
Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
An Pediatr (Engl Ed). 2018 Feb;88(2):112.e1-112.e6. doi: 10.1016/j.anpedi.2017.06.011. Epub 2017 Sep 29.
Due to its severity, as well as the consequences of a late diagnosis, critical congenital heart defects (CCHD) represent a challenging situation, making an early diagnosis necessary and ideally before symptoms appear when circulatory collapse or death of the newborn can occur. Due to this, a prenatal and very early postnatal diagnosis is very important. Prenatal ultrasound screening and physical examination of the newborn can miss a considerable number of CCHD cases. Pulse oximetry screening has been demonstrated to be an effective, non-invasive, inexpensive, and well accepted tool in the early diagnosis of CCHD. The Spanish National Society of Neonatology, through its Standards Committee, and based on the current evidence, recommend the implementation of pulse oximetry screening of CCHD in Spain, and then to offer the best therapy possible to these newborn infants.
由于其严重性以及延迟诊断的后果，危及生命的先天性心脏病（CCHD）是一种具有挑战性的情况，因此早期诊断是必要的，理想情况下应在症状出现之前进行诊断，因为此时可能会发生新生儿循环衰竭或死亡。因此，产前和产后早期诊断非常重要。产前超声筛查和新生儿体格检查可能会漏诊相当数量的CCHD病例。脉搏血氧饱和度筛查已被证明是早期诊断CCHD的一种有效、非侵入性、廉价且易于接受的工具。西班牙国家新生儿学会通过其标准委员会，基于现有证据，建议在西班牙实施CCHD脉搏血氧饱和度筛查，然后为这些新生儿提供尽可能最佳的治疗。
