新生儿肺动脉高压16例临床分析

CLINICAL ANALYSIS OF TRANSIENT PULMONARY HYPERTENSION OF 16 NEWBORNS

本文从26例有青紫的足月新生儿中经用超声心动图筛查,发现肺动脉高压16例,患儿多数有宫内窘迫,产后窒息或吸入性肺炎病史。临床表现为明显青紫,给于吸氧及一般治疗无缓解,超声心动图检查有肺动脉高压的表现,16例中2例有持续胎儿循环存在,14例仅为单纯肺动脉高压。用酚妥拉明治疗后青紫明显改善,复查超声心动图肺动脉高压消失。

This paper presents 16 cases of transient pulmonary hypertension of the newborn out of sifting 26 case of echocardiography of full-term newborn with cyanosis. Most cases have record of in trauterine embarrassment, neonatal asphyxia or aspiration pneumonia. The clinical sign is obvious cyanosis which isn't remitted after inhaling oxygen or general curing, and typical pulmonary hypertension inspected with echocardiography. Two cases out of 16 have persistent fetal circulation, 14 cases only have simple pulmonary hypertension. The cyanosis is improved evidently after curing with phentolamin. And the signs of pulmonary hypertension disappear when checking by echocardiography.