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目的了解广东江门市新会区新生儿早期心脏彩超筛查结果、本地区先天性心脏病类型分布及其临床特点。方法 2009年12月至2011年5月本院新生儿科医生在门诊或住院部进行体格检查和心脏听诊,发现有心脏杂音或青紫者的新生儿由超声科医生进行彩色超声心电图检查。结果研究期内共筛查先天性心脏病患儿872例,其中男405例,女467例。本组新生儿心脏疾病以卵圆孔未闭、动脉导管未闭、室间隔缺损、三尖瓣关闭不全以及房间隔缺损为多见,其发生率分别为61.75%、18.88%、16.75%、13.54%和10.69%。结论新生儿科先天性心脏病的早期筛查在临床是切实可行的,有必要将心脏彩超列为产前及生后早期心脏常规筛查项目,并在基层医院推广。
Objective To understand the results of early neonatal echocardiography screening in Xinhui District, Jiangmen City, Guangdong Province. The distribution and clinical features of congenital heart disease in this area. Methods From December 2009 to May 2011, neonatal pediatricians in our hospital underwent physical examination and auscultation in the outpatient department or inpatient department, and color ultrasound echocardiography was performed by a sonographer in neonates with heart murmurs or bruises. Results A total of 872 children with congenital heart disease were screened during the study period, including 405 males and 467 females. The group of neonatal heart disease with patent foramen ovale, patent ductus arteriosus, ventricular septal defect, tricuspid regurgitation and atrial septal defect are more common, the incidence rates were 61.75%, 18.88%, 16.75%, 13.54 % And 10.69%. Conclusion Early screening of neonates with congenital heart disease is clinically feasible. It is necessary to classify the cardiac ultrasound as a prenatal and postnatal cardiac routine screening project and promote it in primary hospitals.