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[在医疗机构中对看似健康的新生儿进行脉搏血氧饱和度筛查以检测复杂先天性心脏病的相关性]

[Relevance of the detection of complex congenital heart disease by screening with pulse oximetry in apparently healthy newborns in health establishments].

作者信息

Jiménez-Carbajal María Guadalupe, López Pérez Didier, Fernández Luna Claudia Paola

机构信息

Cardiología Intervencionista Pediátrica, Hospital General Naval de Alta Especialidad; Centro Médico Dalinde, Ciudad de México, México.

Cirugía Cardiovascular de Congénitos, Hospital General Naval de Alta Especialidad, Ciudad de México, México.

出版信息

Arch Cardiol Mex. 2018 Oct-Dec;88(4):298-305. doi: 10.1016/j.acmx.2018.02.001. Epub 2018 Mar 13.

Abstract

A review is presented of data published in medical literature related to the screening used for the early detection of complex congenital heart disease in apparently healthy newborns in several cities of the world, including those reported in Mexico. The screening was performed due to the knowledge of the pathophysiology of indirect hypoxia data, observation of differential cyanosis and the consequent difference in the values of pre- and post-ductal pulse oximetry derived from the ductal and/or atrial septal defect dependence of several severe congenital heart diseases. Multicentre research studies have also been carried out on a massive scale, thus justifying the usefulness of the practice for its daily implementation and at international level. Additionally, legislative topics are cited in our country as part of the efforts to establish the mandatory nature of the screening throughout the Mexican Republic.

摘要

本文综述了世界上几个城市(包括墨西哥报道的城市)有关对看似健康的新生儿进行复杂先天性心脏病早期检测的筛查的医学文献中发表的数据。进行筛查是因为了解间接缺氧数据的病理生理学、观察差异性发绀以及由此产生的由于几种严重先天性心脏病对动脉导管和/或房间隔缺损的依赖而导致的导管前和导管后脉搏血氧饱和度值的差异。还大规模开展了多中心研究,从而证明了这种做法在日常实施以及国际层面上的实用性。此外,作为在墨西哥共和国全境确立筛查强制性的努力的一部分,我国还提到了立法议题。

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