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目的通过对1 725例产前曾行胎儿超声心动图筛查者产后进行新生儿超声心动图对照分析,探讨先天性心脏病早期筛查的临床意义。方法对产前曾接受过胎儿超声心动图筛查者1 725例新生儿进行超声心动图对照分析。结果共筛查新生儿1 725例,房水平分流束宽度〈5mm者1 614例,房水平分流束宽度>5mm者56例,室间隔缺损24例,动脉导管未闭8例,紫绀型先心病3例(产前均明确诊断),正常者20例。结论彩色多普勒超声心动图检查对诊断绝大部分严重胎儿先天性心脏畸形意义重大,但对小的室间隔缺损敏感性较低,应用超声心动图对新生儿先心病筛查,可对胎儿超声心动图进行弥补和补充。
Objective To investigate the clinical significance of early screening of congenital heart disease by analyzing the neonatal echocardiography of 1 725 prenatal fetus with echocardiographic screening. Methods A total of 1 725 newborns with prenatal screening of fetal echocardiography were analyzed by echocardiography. Results A total of 1 725 newborns were screened, including 1 614 cases of horizontal shunt beam width <5 mm, 56 cases of horizontal shunt beam width> 5 mm, 24 cases of ventricular septal defect, 8 cases of patent ductus arteriosus, 3 cases (prenatal diagnosis were confirmed), 20 cases of normal. Conclusions Color Doppler echocardiography is of great significance in the diagnosis of most serious fetal congenital heart defects, but it is less sensitive to small ventricular septal defects. Echocardiography can screen newborn congenital heart disease, Echocardiography to make up and supplement.