Schmaltz A A
Fortschr Med. 1980 Jun 12;98(22):862-4.
The use of M-mode-echocardiography in infancy and childhood is presented in terms of its value in 2 problem areas. The first concerns the differential diagnosis of the innocent systolic heart murmur: mitral valve prolapse syndrome, atrial septal defect and asymmetrical septal hypertrophy have to be excluded. In the critically ill newborn and infant--the 2.problem area--5 diagnoses play the main role: The hypoplastic left and right heart syndrome, transposition of the great arteries, Fallot-truncus complex and endocardial fibroelastosis. Possibilities and limitations of single beam echocardiography are discussed.
本文介绍了M型超声心动图在婴幼儿时期两个问题领域的应用价值。第一个问题涉及生理性收缩期心脏杂音的鉴别诊断:必须排除二尖瓣脱垂综合征、房间隔缺损和不对称性室间隔肥厚。在危重新生儿和婴儿这第二个问题领域中,有5种诊断起主要作用:左心发育不全综合征、右心发育不全综合征、大动脉转位、法洛四联症-永存动脉干复合体和心内膜弹力纤维增生症。文中还讨论了单束超声心动图的应用可能性及局限性。