CAJ | 학술논문

目的：探讨新生儿重症监护室（NICU ）的足月新生儿床旁超声心动图检查的临床价值。方法对313例NICU的足月新生儿常规行床边超声心动图检查并分析。结果总共313例新生儿受检，临床特征以呼吸急促、心脏杂音、发绀为主要表现；以卵圆孔未闭、动脉导管未闭在非青紫型血液分流常见，非青紫型先天性心脏病（CHD）中以房间隔缺损（31例）为主，其次为室间隔缺损（20例）。青紫型CHD中，以肺动脉闭锁（6例）、完全性大动脉转位（5例）、法洛四联症（5例）、完全性肺静脉异位引流（5例）为主。血流异常以三尖瓣反流常见；中重度肺动脉高压在足月新生儿多见。结论新生儿心脏超声检查结果多有异常，且新生儿CHD杂音常不典型，NICU的足月新生儿常规行床边心脏超声，对于早期发现CHD等异常，从而及时治疗改善预后，具有重要价值。
목적：탐토신생인중증감호실（NICU ）적족월신생인상방초성심동도검사적림상개치。방법대313례NICU적족월신생인상규행상변초성심동도검사병분석。결과총공313례신생인수검，림상특정이호흡급촉、심장잡음、발감위주요표현；이란원공미폐、동맥도관미폐재비청자형혈액분류상견，비청자형선천성심장병（CHD）중이방간격결손（31례）위주，기차위실간격결손（20례）。청자형CHD중，이폐동맥폐쇄（6례）、완전성대동맥전위（5례）、법락사련증（5례）、완전성폐정맥이위인류（5례）위주。혈류이상이삼첨판반류상견；중중도폐동맥고압재족월신생인다견。결론신생인심장초성검사결과다유이상，차신생인CHD잡음상불전형，NICU적족월신생인상규행상변심장초성，대우조기발현CHD등이상，종이급시치료개선예후，구유중요개치。
Objective To evaluate the clinical value of bedside echocardiography in full term infants in NICU.Methods The bedside echocardiography was performed for 313 full term infants,and then they were ana-lyzed.Results The main clinical characteristics of totally 313 cases of neonates were tachypnea,heart murmur and cyanosis.Patent foramen ovale and patent ductus arteriosus were common in the no cyanotic blood shunt,no cyanotic congenital heart disease(CHD)was mainly made of atrial septum defect(31 cases),followed by ventricular septal defect (20 cases).Cyanotic CHD was made of pulmonary atresia(6 cases),complete transposition of great artery (5 cases),tetralogy of fallot(5 cases),total anomalous pulmonary venous drainage(5 cases).Tricuspid regurgitation was common in abnormal blood flow,moderate to severe pulmonary hypertension was common for full term infants. Conclusion There were many abnormal echocardiography examination results,and atypical noise was common in neonatal CHD,routine examination of bedside echocardiography for full term infants in NICU was important for early detection of CHD and may help treatment timely to improve the prognosis.