对因特定胃肠道畸形接受手术的新生儿进行超声心动图筛查。
Echocardiographic screening in neonates undergoing surgery for selected gastrointestinal malformations.
作者信息
Tulloh R M, Tansey S P, Parashar K, De Giovanni J V, Wright J G, Silove E D
机构信息
Department of Cardiology, Children's Hospital, Birmingham.
出版信息
Arch Dis Child Fetal Neonatal Ed. 1994 May;70(3):F206-8. doi: 10.1136/fn.70.3.f206.
To compare echocardiography with clinical examination, radiography, and electrocardiography for the detection of congenital heart defects (CHD) a four year prospective study was carried out in 166 neonates with selected congenital gastrointestinal malformations (anorectal anomaly, tracheo-oesophageal fistula, duodenal atresia, exomphalos, and gastroschisis). Routine examination and investigation detected CHD in 16 neonates. Using echocardiography CHD was diagnosed in 38 (23%) neonates of whom five had two gastrointestinal malformations: in 22/57 (39%) with a tracheo-oesophageal fistula, 10/67 (15%) with an anorectal anomaly, 4/20 (20%) with exomphalos, 6/20 (30%) with duodenal atresia, and 1/7 with gastroschisis. A significantly higher incidence of CHD in neonates with gastrointestinal malformations was diagnosed using echocardiography (23%) compared with routine examination and investigation (9%). Early diagnosis of CHD allowed a unified approach to be presented to the family.
为比较超声心动图与临床检查、放射照相术及心电图在检测先天性心脏缺陷（CHD）方面的效果，对166例患有特定先天性胃肠道畸形（肛门直肠畸形、气管食管瘘、十二指肠闭锁、脐膨出及腹裂）的新生儿进行了一项为期四年的前瞻性研究。常规检查和调查发现16例新生儿患有CHD。使用超声心动图诊断出38例（23%）新生儿患有CHD，其中5例患有两种胃肠道畸形：气管食管瘘患儿中22/57（39%）患有CHD，肛门直肠畸形患儿中10/67（15%）患有CHD，脐膨出患儿中4/20（20%）患有CHD，十二指肠闭锁患儿中6/20（30%）患有CHD，腹裂患儿中1/7患有CHD。与常规检查和调查（9%）相比，使用超声心动图诊断出患有胃肠道畸形的新生儿中CHD的发生率显著更高（23%）。CHD的早期诊断使得能够向家庭提供统一的治疗方案。
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