200 例新生儿心脏彩超筛查先心病结果分析

目的:了解新生儿先天性心脏病(简称先心病)的发病情况,获得基本资料,为制定和采取干预措施提供决策依据。方法:将新生儿心脏彩超列入常规检查项目,选择西京医院产科2011年6月13日至7月23日出生的200名新生儿进行心脏彩超检查,筛查率为100%。结果:正常的为170例,占85%,其中需观察、随访的131例。异常的为30例,发病率占百分之15%,其中复杂先心病3例。30例先心病患儿中,以ASD+PDA类型心脏病最多,占56.67%;其次是ASD,占16.67%;VSD+PDA和VSD+PDA+PFO类型分别占6.67%;检出复杂先心病类型单室+房间隔缺损+肺动脉瓣狭窄、单房单室、部分型心内膜垫缺损+ASD+二尖瓣前瓣裂,分别占3.33%。结论:新生儿先心病的发病率较高,采用心脏彩超等检查项目筛查是非常必要的,需认识导致新生儿先心病的原因,尽早发现先心病患儿,并做好先心病患儿的随访工作,为及时进行干预提供保障。

Analysis of Congenital Heart Disease in Neonatal on Chocardiography Screening Results of 200 Cases

Objective: To investigate the incidence rate of neonatal congenital heart diseases(CHD) and obtain basic information for making and taking interventions.Methods: Neonatal echocardiography is used as a routine neonatal examination in Xijing Hospital,all the 200 cases newborn from June 13 to July 23 in 2011 were examined with the CHD screening rate is 100%.Results: The screening results show 170 cases normal with the rate is 85%,and 30 cases abnormal with the incidence rate of CHD is 15%.Types and composition ratio of 30 cases neonatal CHD list as ASD+PDA(56.67%),ASD(16.67%),VSD+PDA(6.67%),VSD+PDA+PFO(6.67%),VSD(3.33%),SV+ASD+PS(3.33%),SA+SV(3.33%),artial endocardial cushion defect+ ASD+Anterior mitral valve cleft(3.33%).Conclusions: The incidence rate of neonatal CHD is high,so it is very important and necessary to use chocardiography and other test methords to screen congenital heart disease in neonatal.It is also required to investigate and recognize the causes for neonatal CHD,detect it out early and intervene timely.It is also important to do well the follow-up work for children with CHD.