Distefano G, Sciacca P, Parisi M G, Marletta M, Mattia C, Tornambene G, Romeo M G
Cattedra di Neonatologia e Servizio Autonomo di Cardiologia Pediatrica, Università di Catania, Italia.
Pediatr Med Chir. 1997 Nov-Dec;19(6):425-31.
Cardiovascular impairment is frequent in the neonatal period and can be linked to malformative and non malformative pathologies. The Authors performed a retrospective study on the incidence of these two types of pathologies in a population of 3326 newborns who underwent cardiological examination. Malformative cardiopathy was observed in 779 (23.4%) of them, while non malformative cardiopathy was present in 316 (9.5%). Acyanogen forms (86.7%) were more common than cyanogen forms (13.2%) in malformative, while cyanogen forms (64.8%) were more frequent than acyanogen ones (35.1%) in non malformative cardiopathies. The Authors reviewed the incidence of the single cardiac defects and report some clinical and physiopathological considerations that underline the need for prompt differential diagnosis and the validity of echocardiography in achieving this aim.
心血管损害在新生儿期很常见,并且可能与畸形和非畸形病理状况相关。作者对3326名接受心脏检查的新生儿人群中这两种病理状况的发生率进行了一项回顾性研究。其中779例(23.4%)观察到有畸形心脏病,而316例(9.5%)存在非畸形心脏病。在畸形心脏病中,无青紫型(86.7%)比青紫型(13.2%)更常见,而在非畸形心脏病中,青紫型(64.8%)比无青紫型(35.1%)更频繁。作者回顾了单一心脏缺陷的发生率,并报告了一些临床和生理病理方面的考虑因素,这些因素强调了进行快速鉴别诊断的必要性以及超声心动图在实现这一目标方面的有效性。