新生儿先天性心脏病临床特点分析

Evaluation of Clinical Features on Newborn Congenital Heart Disease

目的：探讨新生儿先天性心脏病（先心病）的临床特点。方法：对１２３例新生儿的临床表现、心脏超声及心电图进行分析。结果：新生儿先心病类型复杂，心衰２１例（１７１％），早期闻及心脏杂音７９例（６４２％），青紫３２例（２６０％），心音增强或减弱１１例（８９％），心律失常６例（４９％），死亡２７例（２２０％）。结论：新生儿先心病除心脏杂音外，青紫、心衰、心音异常及心律失常为重要体征，可疑病例应尽早作超声检查，明确诊断，指导治疗。

Objective: To study the evaluation of clinical features of newborn congenital heart disease (NCHD). Methods: The methods on electrocardiogram ultrasonography and clinical manifestation assay were used.Results: 123 cases NCHD were observes, 21(17.1%) of them had heart failure,79(64,2%) had heart murmur,32(26.0%) had cyanosis, 11(8.9%) had heart sound abnormolity,6(4.9%) had arrhythmia,27(220%) had fatality.Conclusion: The results showed that NCHD styles are complicated,cyanosis,heart failure,heart sound abnormolity, arrhythmia are as principal clinical signs as heart murmur.As long as being suspicious,newborn should be quickly examined by ultrasonography,so as to diagnose and treat.