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目的:探讨彩色多普勒超声心动图诊断新生儿非青紫型先天性心脏病的临床价值。方法:2005年5月～2007年1月本院出生活产儿9612例,其中临床疑诊为先心病225例行彩色多普勒超声心动图检查,可疑或明确诊断病例出院后继续定期随访观察。结果:发现非青紫型135例,其中室间隔缺损43例(31.9%),继发孔型房间隔缺损54例(18例明确为房间隔缺损,36例为房间隔缺损可疑),动脉导管未闭35例(25.9%)。38例室间隔缺损患儿随访发现缺损自闭及变小12例,无明显变化16例,扩大10例,15例明确为房间隔缺损患儿随访发现缺损自闭或变小2例,31例房间隔缺损可疑患儿随访发现自闭或变小26例。29例动脉导管未闭患儿在3个月内随访发现自闭或变小22例。在随访后确诊为先心病患儿共69例,检出率为7.18‰。结论:彩色多普勒超声心动图可作为诊断新生儿非青紫型先心病的重要手段。
Objective: To investigate the clinical value of color Doppler echocardiography in the diagnosis of neonatal non-purple type congenital heart disease. Methods: From May 2005 to January 2007, 9612 live births were performed in our hospital. Among them, 225 cases were diagnosed as CHD by color Doppler echocardiography, and suspicious or definite diagnosis cases were observed regularly after discharge. Results: A total of 135 cases of non-cyanosis were found, including 43 cases of ventricular septal defect (31.9%), 54 cases of secondary secundum atrial septal defect (18 cases were atrial septal defect and 36 cases were suspected atrial septal defect) 35 cases closed (25.9%). 38 cases of ventricular septal defect were followed up found that 12 cases of autistic and reduced defects, no significant change in 16 cases, an increase of 10 cases, 15 cases were diagnosed as atrial septal defect follow-up found defects in autism or reduced in 2 cases, 31 cases Atrial septal defect suspicious children follow-up found that autistic or smaller in 26 cases. 29 cases of patent ductus arteriosus were followed up within 3 months found autistic or smaller in 22 cases. 69 cases were diagnosed as CHD after follow-up, the detection rate was 7.18 ‰. Conclusion: Color Doppler echocardiography can be used as an important tool in the diagnosis of neonatal non-cyanotic congenital heart disease.