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前列腺素与超声心动图在动脉导管未闭评估中的应用

Prostaglandins and echocardiography in the assessment of patent ductus arteriosus.

作者信息

Hammerman C, Strates E, Berger S, Zaia W, Aldousany A

出版信息

Crit Care Med. 1986 May;14(5):462-5. doi: 10.1097/00003246-198605000-00005.

DOI:10.1097/00003246-198605000-00005
PMID:3457692
Abstract

Prostaglandin (PG) levels and M-mode echocardiography were used to evaluate the severity of patent ductus arteriosus (PDA) in 19 premature infants. Mean 6-keto-PGF1 alpha levels in infants with more severe left-to-right shunting were significantly higher than those in infants with a moderate level of shunting (1335 +/- 763 vs. 504 +/- 348 pg/ml, respectively). Furthermore, there was a significant correlation between this elevation and a decrease in the left ventricular systolic time interval, suggesting that both reflect the severity of ductal shunting. Although other echocardiographic measurements of cardiovascular function generally showed some tendency to vary with 6-keto-PGF1 alpha levels, none was as closely correlated with the extent of PG elevation. Levels of PGE2 also seemed to vary with PDA severity; however, this correlation was not as significant.

摘要

采用前列腺素(PG)水平和M型超声心动图评估19例早产儿动脉导管未闭(PDA)的严重程度。左向右分流较严重的婴儿平均6-酮-前列环素F1α水平显著高于分流程度中等的婴儿(分别为1335±763与504±348 pg/ml)。此外,这种升高与左心室收缩时间间期缩短显著相关,提示二者均反映导管分流的严重程度。尽管心血管功能的其他超声心动图测量指标一般显示出随6-酮-前列环素F1α水平变化的某种趋势,但无一与PG升高程度密切相关。前列腺素E2水平似乎也随PDA严重程度而变化;然而,这种相关性不显著。

相似文献

1
Prostaglandins and echocardiography in the assessment of patent ductus arteriosus.前列腺素与超声心动图在动脉导管未闭评估中的应用
Crit Care Med. 1986 May;14(5):462-5. doi: 10.1097/00003246-198605000-00005.
2
Prostaglandin levels: predictors of indomethacin responsiveness.前列腺素水平:吲哚美辛反应性的预测指标。
Pediatr Cardiol. 1986;7(2):61-5. doi: 10.1007/BF02328952.
3
The silent ductus: its precursors and its aftermath.
Pediatr Cardiol. 1986;7(3):121-7. doi: 10.1007/BF02424985.
4
Urinary excretion rates of 6-keto-PGF1 alpha in preterm infants recovering from respiratory distress with and without patent ductus arteriosus.患有和未患有动脉导管未闭的呼吸窘迫恢复期早产儿的6-酮-前列环素F1α尿排泄率。
Pediatr Res. 1984 Jun;18(6):520-4. doi: 10.1203/00006450-198406000-00007.
5
Circulating prostaglandin E2 concentrations and incidence of patent ductus arteriosus in preterm infants with respiratory distress syndrome.呼吸窘迫综合征早产儿循环前列腺素E2浓度与动脉导管未闭发生率
Pediatrics. 1980 Nov;66(5):725-9.
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The critically ill premature infant with patent ductus arteriosus and pulmonary disease-an echocardiographic assessment.
J Pediatr. 1975 Mar;86(3):423-32. doi: 10.1016/s0022-3476(75)80979-6.
7
[New aspects on the pathogenesis of patent ductus arteriosus in premature infants].
Monatsschr Kinderheilkd. 1986 Jul;134(7):423-35.
8
Contrast echocardiographic assessment of the neonatal ductus arteriosus.新生儿动脉导管的对比超声心动图评估。
Arch Dis Child. 1986 May;61(5):484-8. doi: 10.1136/adc.61.5.484.
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Endogenous dilator prostaglandins in congenital heart disease.先天性心脏病中的内源性扩张血管前列腺素
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[M-mode echocardiography of premature infants with patent ductus arteriosus and idiopathic respiratory distress syndrome].
Ugeskr Laeger. 1983 Nov 14;145(46):3567-71.

引用本文的文献

1
Prostacyclin concentrations and transitional circulation in preterm infants requiring mechanical ventilation.需要机械通气的早产儿的前列环素浓度与过渡循环
Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F34-7. doi: 10.1136/fn.80.1.f34.
2
The silent ductus: its precursors and its aftermath.
Pediatr Cardiol. 1986;7(3):121-7. doi: 10.1007/BF02424985.
3
Prostaglandin levels: predictors of indomethacin responsiveness.前列腺素水平:吲哚美辛反应性的预测指标。
Pediatr Cardiol. 1986;7(2):61-5. doi: 10.1007/BF02328952.
4
Endogenous dilator prostaglandins in congenital heart disease.先天性心脏病中的内源性扩张血管前列腺素
Pediatr Cardiol. 1987;8(3):155-9. doi: 10.1007/BF02263445.