【摘要】 目的 :分析新生儿先天性心脏病的临床特征 ,为早期诊治提供依据。方法 :分析近 10年经彩色多普勒超声心动图或尸体解剖确诊的 13 4例新生儿先天性心脏病的早期临床特征。结果 :初诊原因依次为气促、紫绀、窒息、咳嗽、喂养困难、早产。最常见的临床表现为心脏杂音、紫绀、气促、窒息、心衰、喂养困难。单一畸形 82例 ,复合畸形 5 2例 ;房间隔缺损98例 ,室间隔缺损 3 6例。结论 :新生儿先天性心脏病临床表现不典型 ,以杂音、青紫、气促最常见。分娩窒息是值得重视的首发症状。病理类型以房间隔缺损最多见。彩色多普勒超声心动图在早期诊断轻度房室间隔缺损型心脏病方面有较大优越性。轻型房、室间隔缺损均有自然闭合倾向。更多还原

【Abstract】 Objective:Providing evidences for diagnosis and treatment of congenital heart disease (CHD) earlier. Methods:Investigate and analyses the earlier clinic features from 134 cases of newborn who treated in our hospital suffered from CHD diagnosed by color Doppler two-dimensional echocardiography or autopsy last 10 years. Results:Their first cause to see doctor were in order panting,cyanosis,asphyxia,cough,jaundice,feeding-difficulty,vomiting,diarrhea,convulsion,premature,scleredema,health-examination. The most frequency clinical situation were murmur,cyanosis,panting,asphyxia,congestive heart failure,feeding-difficulty in order. There were 82 cases of simple deformity,and 52 cases of compound deformity.There were 98 cases of at atrial septal defect (ASD),and 36 cases of ventricular septal defect(VSD).Conclusion:The most common CHD in newborn was ASD.The clinical situation of CHD early were not typical,murmur,cyanosis,panting were most frequently seen.Asphyxia in birth is one of the first symptom that should not be neglected.更多还原