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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Cardiac Blood Flow Measurements in Stable Full Term Small for Gestational Age Neonates
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Cardiac Blood Flow Measurements in Stable Full Term Small for Gestational Age Neonates

机译:稳定期足月小婴儿的心脏血流量测量

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Background: Cardiac blood flow measurements are useful in the haemodynamic management of neonates. Cardiac blood flows can be estimated with functional echocardiography as follows; flow in Superior Vena Cava (SVC), Right Ventricular Outflow (RVO) and Left Ventricular Outflow (LVO). Studies in preterm infants have shown that abnormal superior vena cava flow is associated with poor neurodevelopmental outcomes. To date, normative data on LVO, RVO and SVC flows has been established for term appropriate for gestational age neonates and preterm neonates, but no data is available on RVO, LVO and SVC flows for term small for gestational age neonates. Objective: To determine Right Ventricular Output (RVO), Left Ventricular Output (LVO) and Superior Vena Cava (SVC) flow after the transitional period in stable full term Small for Gestational Age (SGA) neonates.Design: Observational study.Setting: A tertiary care, perinatal centre in western Maharashtra, India.Participants: Full term (37 to 41 weeks) small for gestational age (weight below 10th percentile for gestational age) infants who were born during the study period.Methods: RVO, LVO and SVC flows were measured by functional echocardiography on day 7 of life in stable full term SGA neonates from January 2011 to August 2011. Infants who required respiratory or cardiovascular support and intensive care unit admissions for any indication and those with a clinical suspicion of an infection within 48 hours after data collection were excluded from the study.Statistical Analyses: Unpaired t-test was used to compare SVC flow between symmetric and asymmetric SGA neonates.Main Outcome Measure: Measurements of RVO, LVO and SVC in term SGA neonates on day 7 of life.Results: We performed measurements in 52 term SGA neonates with a median (range) birth weight of 2.190 (1.600-2.410) kg. Fifty two measurements were analyzed on day 7. The mean (SD) RVO, LVO and SVC flows were 255.59 (57.42) , 214.61 (52.04) and 126.28 (31.23) mL/kg/min.Conclusion: This study provides RVO, LVO and SVC flow values in a cohort of stable term SGA neonates after the transitional period.
机译:背景:心脏血流量测量对新生儿的血流动力学治疗很有用。可以通过功能超声心动图估计心脏的血流,方法如下:上腔静脉(SVC),右心室流出(RVO)和左心室流出(LVO)中的血流。对早产儿的研究表明,异常的上腔静脉血流与不良的神经发育结果有关。迄今为止,已经建立了适合于胎龄新生儿和早产儿的LVO,RVO和SVC流量的标准数据,但是尚无关于胎龄小的新生儿的RVO,LVO和SVC流量的数据。目的:确定稳定期足月小(SGA)新生儿过渡期后的右心室输出量(RVO),左心室输出量(LVO)和上腔静脉(SVC)设计:观察性研究背景:A研究对象:印度马哈拉施特拉邦西部围产中心的三级护理参与者:研究期间出生的足月(37至41周)小于胎龄的小婴儿(体重小于胎龄的10%)方法:RVO,LVO和SVC在2011年1月至2011年8月稳定的足月SGA新生儿生命的第7天,通过功能超声心动图测量血流。需要呼吸或心血管支持和重症监护病房入院的任何适应症以及临床怀疑感染的婴儿在48岁以内统计分析:未配对的t检验用于比较对称和不对称SGA新生儿之间的SVC流量。关于:在生命的第7天,对足月SGA新生儿的RVO,LVO和SVC进行测量。结果:我们对52位足月SGA新生儿进行了测量,中位(范围)出生体重为2.190(1.600-2.410)kg。在第7天分析了52个测量值。平均(SD)RVO,LVO和SVC流量分别为255.59(57.42),214.61(52.04)和126.28(31.23)mL / kg / min。结论:本研究提供了RVO,LVO和过渡期后一组稳定期SGA新生儿中的SVC流量值。

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