双心室功能未能恢复正常与先天性膈疝新生儿使用体外膜肺氧合有关。
Failure to Normalize Biventricular Function Is Associated with Extracorporeal Membrane Oxygenation Use in Neonates with Congenital Diaphragmatic Hernia.
作者信息
Le Lisa S, Kinsella John P, Gien Jason, Frank Benjamin S
机构信息
Heart Institute, Children's Hospital Colorado, Aurora CO.
Department of Pediatrics Section of Neonatology, University of Colorado, Aurora CO.
出版信息
J Pediatr. 2023 Sep;260:113490. doi: 10.1016/j.jpeds.2023.113490. Epub 2023 May 16.
We examined postnatal echocardiograms for 62 infants with congenital diaphragmatic hernia born from 2014 through 2020. Left and right ventricular dysfunction on D0 were sensitive, whereas persistent dysfunction on D2 was specific for extracorporeal membrane oxygenation requirement. Biventricular dysfunction had the strongest association with extracorporeal membrane oxygenation. Serial echocardiography may inform prognosis in congenital diaphragmatic hernia.
我们检查了2014年至2020年出生的62例先天性膈疝婴儿的产后超声心动图。出生当日（D0）的左、右心室功能障碍具有敏感性，而出生后第2日（D2）的持续性功能障碍是体外膜肺氧合需求的特异性指标。双心室功能障碍与体外膜肺氧合的关联最为密切。系列超声心动图检查可为先天性膈疝的预后提供依据。
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