在新生儿置的术前评估中进行胸外心声学:限制与先进的成像技术相关的风险
Christina L Benjamin1, Erik G Ellsworth1, Roosevelt Bryant1
1From the Center for Heart Care, Phoenix Children's Hospital, Phoenix, Ariz.
Pediatric quality & safety
|October 2, 2023
概括
新生儿大动脉形缺血的管理可能导致急性损伤,特别是在手术前进行对比增强成像后. 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 新生儿重症监护中心新生儿重症监护中心
- 诊断成像 诊断成像 诊断成像
背景情况:
- 产前诊断大动脉形低增症需要迅速的新生儿心脏管理.
- 新生儿患有大动脉形低成形可能需要前列腺素输注和呼吸支持.
- 早期识别和描述大动脉门异常对于手术规划至关重要.
研究的目的:
- 为了评估 Transthoracic 心房回声学对大动脉缩的诊断准确性.
- 评估新生儿进行简单的大动脉缩的高级成像的必要性.
- 分析在接受心脏手术的新生儿中对比度增强成像和急性损伤之间的潜在联系.
主要方法:
- 一个新生儿的病例综述,在产前发现了大动脉形缺血症.
- 对心脏计算机断层扫描 (CT) 扫描结果的分析.
- 临床过程的审查,包括手术干预和替代疗法.
- 在部门发病率和死亡率会议上的讨论.
主要成果:
- 一名新生儿患有寡尿症和功能衰竭,需要心脏手术后持续的置换疗法.
- 在手术前对心脏CT进行对比剂的时间被认为是导致功能衰竭的因素.
- 这起案件促使部门对大动脉缩的成像方法进行了审查.
结论:
- 在接受心脏手术的新生儿中,对比引起的脏病的可能性需要仔细考虑.
- 诊断实用性和先进成像对抗心声回声对大动脉缩的必要性需要进一步的研究.
- 在脆弱的新生儿中,优化诊断成像和手术时间之间的平衡至关重要.
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