婴幼儿联合超声筛查在促进儿童健康发育中的应用与推广

发布时间：2018-06-25 12:06

本文选题：心脏筛查 + 髋关节　；参考：《临床医药文献电子杂志》2016年47期

【摘要】：目的探讨婴幼儿联合超声筛查的临床应用价值。方法使用高端彩超对库尔勒400名不同民族的婴幼儿从出生至2岁前进行规范系统的的发育异常的超声筛查(包括足月新生儿颅脑、2月婴儿髋关节发育及3个月婴儿心脏彩超的筛查),对需要跟踪观察或治疗的病例进行超声随访。结果项目实施期间婴幼儿联合超声筛查完成3034例,其中新生儿颅脑超声检查共检查1663例,检查对象为出生1~27天的新生儿及2岁以内前囟未闭合的婴儿,共检出颅内异常患儿328例(其中不同程度的颅内出血256例,脑积水8例,缺血性脑病22例,脑实质出血(IPH)8例,脑实质结构回声异常4例);新生儿髋关节超声筛查共检查1344例,检查对象为出生26天至6个月以内的婴儿,共检出髋关节异常患儿44例,占总人数的3.2%;小儿超声心动图筛查共检查127例,18例心脏彩超检查结果异常,9例室间隔缺损,3例卵圆孔未闭、1例动脉导管未闭、2例房间隔缺损。
[Abstract]:Objective to evaluate the clinical value of combined ultrasound screening in infants. Methods 400 infants of different nationalities from birth to the age of 2 years were screened by using high-end color ultrasound for systematic abnormal development (including craniocerebral of full-term newborn, hip joint development of 2-month infants and 3-month-old infants). Sonographic examination of the child's heart color Doppler ultrasound followed up cases requiring follow-up or treatment. Results during the implementation of the project, 3034 infants were screened by combined ultrasound, 1663 of them were examined by craniocerebral ultrasound. The subjects were newborns born at 1 to 27 days old and infants under 2 years old who had not closed anterior fontanelle. A total of 328 cases of intracranial abnormalities were detected (including 256 cases of intracranial hemorrhage, 8 cases of hydrocephalus, 22 cases of ischemic encephalopathy, 8 cases of cerebral parenchymal hemorrhage (IPH), 4 cases of abnormal echo of cerebral parenchyma), and 1344 cases of neonatal hip joint ultrasonic examination. The subjects were infants born within 26 days to 6 months, 44 children with abnormal hip joint were detected. Echocardiographic screening of 127 cases with 18 cases of echocardiography showed abnormal results in 9 cases of ventricular septal defect (VSD) in 3 cases of patent foramen ovale and 1 case of patent ductus arteriosus in 2 cases of atrial septal defect (ASD).
【作者单位】：新疆巴音郭楞蒙古自治州库尔勒市妇幼保健院功能科;
【分类号】：R445.1;R179

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