论文部分内容阅读
目的探讨经皮血氧饱和度(SpO_2)监测在新生儿危急性先天性心脏病(CHD)早期诊断中的价值及意义。方法对我院2010年7月至2015年7月出生的新生儿,于生后2~24 h进行右上、下肢SpO_2监测。对SpO_2≤0.95和(或)上下肢差异≥0.03者行彩色多普勒超声心动图检查。结果共出生新生儿24 385名,其中SpO_2异常患儿1 680例,检出CHD患儿204例(12.1%),危急性CHD患儿9例(0.5%)。9例危急性CHD患儿中完全性大动脉转位3例,法洛四联症4例,大动脉畸形1例,肺动脉闭锁伴右心室发育不良1例。结论经皮SpO_2监测对新生儿危急性CHD的早期诊断有一定价值,建议在基层医疗机构普及。
Objective To investigate the value and significance of monitoring of percutaneous oxygen saturation (SpO_2) in early diagnosis of neonatal critical congenital heart disease (CHD). Methods Newborns born in our hospital from July 2010 to July 2015 were monitored SpO_2 in right upper limbs and lower limbs 2 ~ 24 h after birth. For SpO_2 ≤ 0.95 and (or) upper and lower extremity differences ≥ 0.03 line color Doppler echocardiography. Results A total of 24 385 newborns were born, including 1 680 cases of SpO 2 abnormalities, 204 cases (12.1%) of CHD cases and 9 (0.5%) cases of critically ill CHD cases. In 9 cases of children with critical CHD, complete transposition of major arteries occurred in 3 cases, tetralogy of Fallot in 4 cases, arteriolar anomalies in 1 case, pulmonary atresia with right ventricular dysplasia in 1 case. Conclusion Percutaneous SpO 2 monitoring has some value in the early diagnosis of critical CHD in neonates, and is recommended to be popularized in primary medical institutions.