摘要
目的:探讨超声心动图对心脏听诊有杂音脑瘫儿童的先天性心脏病临床筛查的应用价值。方法:选择笔者所在医院2012年11月-2014年9月收治的200例心脏听诊有Ⅱ级以上杂音的脑瘫儿童作为研究对象,对其临床资料进行回顾性分析,所有患儿均进行超声心动图检查。结果:通过心脏彩超检查出先天性心脏病46例,占23.0%,其中单纯房缺13例,单纯室缺12例,动脉导管未闭合6例(其中合并小室缺3例),完全性心内膜垫缺损伴肺动脉狭窄3例,单纯肺动脉狭窄2例,法洛氏四联症2例,法洛氏五联症2例,主动脉瓣狭窄2例,肺动脉瓣上狭窄伴房缺1例,右位心伴永存动脉干1例,永存动脉干1例,三尖瓣下移畸形1例。结论:应用超声心电图检查对心脏听诊有杂音脑瘫儿童进行筛查先天性心脏病,具有无创、可靠、价格便宜等优点,有效提高CHD诊断率,具有较大的临床推广价值。
Objective：To investigate the application value of ultrasonic cardiogram in clinical screening for congenital heart disease of cerebral palsy children with cardiac souffle in cardiac auscultation.Method：200 cases with cerebral palsy who manifested cardiac souffle above level Ⅱ in heart auscultation in our hospital from November 2012 to September 2014 were selected as research objects,the clinical data were retrospectively analyzed and all of the patients underwent ultrasonic cardiogram examination.Result：46 cases of congenital heart disease were diagnosed in the cardiac color ultrasound examination and accounted for 23.0%,of which only 13 cases of simple atrial septal defect,12 cases of simple ventricular septal defect,6 cases of patent ductus arteriosus（3 cases combined with small VSD）,3 cases of complete endocardial cushion defect combined with pulmonary artery stenosis,2 cases of simple pulmonary artery stenosis,2 cases of Fallot tetralogy,2 cases of Fallot pentalogy,2 cases of aortic stenosis,1 case of upper pulmonary valve stenosis with atrial septal defect,1 case of dextrocardia with persistent truncus arteriosus,1 case of truncus arteriosus and 1 case of Ebstein anomaly.Conclusion：The application of ultrasonic cardiogram screening for congenital heart disease among children with cardiac souffle in cardiac auscultation has the advantages of noninvasion,reliability,cheapness and it is effective to improve the diagnostic rate of CHD and well worth clinical popularization.
出处
《中外医学研究》
2015年第18期54-55,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
国家临床重点专科建设项目经费资助(项目编号:国卫办函【2013】544号)
关键词
超声心动图
心脏听诊
杂音
先天性心脏病筛查
Ultrasonic cardiogram
Cardiac auscultation
Cardiac souffle
Congenital heart disease screening
