Clinical research of echocardiography in the assessmet of persistent pulmonary hypertension of the newborns
10.3760/cma.j.issn.1008-6706.2014.06.021
- VernacularTitle:超声心动图评价新生儿持续性肺动脉高压的临床研究
- Author:
Xuefen LYU
;
Xiangming ZHU
;
Zuo WANG
- Publication Type:Journal Article
- Keywords:
Hypertension,pulmonary;
Echocardiography;
Ventricular function,left;
Infant,newborn
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(6):846-848
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the parameters of echocardiography in persistent pulmonary hypertension of the newborn(PPHN),and to discuss the influence of persistent pulmonary hypertension on cardiac geometry and left ventricul ar function.Methods 25 cases with PPHN were selected,including 11 mild,9 moderate,and 5 severe cases.Another 23 cases of neonatal jaundice were selected as control group.The left atrium diameter(LAD),left ventricular end diastolic diameter (LVDd),right ventricular end diastolic diameter (RVDd),right atrium diameter (RAD),left ventricular posterior wall thickness (LVPW),interventricular septum thickness (IVS) were measured by echocardiography.The results of echocardiography were analyzed.Results Compared with the control group,the RVDd and RAD of PPHN group were significantly increased,RVDd and RAD dilated with the increasing of pulmonary artery systolic pressure in PPHN group (t =2.53,7.09,2.14,4.77,2.88,2.04,4.59,7.12,2.34,5.12,3.07,all P ＜0.05) ;LVDd decreased in severe group (14.80 ±2.16) mm compared with that in the control group (15.26 ±1.83) mm,mild (16.55 ± 1.50) mm and moderate group (15.67 ± 1.87) mm(t =3.76,4.80,3.74,all P ＜ 0.05).Conclusion Echocardiography is one of the most important method to diagnose PPHN,and can be observed in newborns with non-invasive cardiac changes directly.lt has important value in judgement of severity degree,and provide a reliable basis for clinical diagnosis and treatment.
