Oxygen saturation as a screening test for critical congenital heart disease: A preliminary study
Oxygen saturation as a screening test for critical congenital heart disease: A preliminary study
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DOI：
10.1007/s00246-002-1482-8
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发表时间：
2002-07-01
影响因子：
1.6
通讯作者：
Byrne, BJ
中科院分区：
文献类型：
--
作者：
Hoke, TR;Donohue, PK;Byrne, BJ
本研究的目的是评估手臂和腿部血氧饱和度作为早期发现导管依赖性左心梗阻性疾病的候选筛查试验的实用性。我们测量了2876名新生儿和32名先天性心脏病新生儿的手臂和腿部血氧饱和度。良好的托儿所中有57名新生儿（0.02%）出现异常测试（室内空气中腿部饱和度低于92%或腿部饱和度比手臂低7%）。57名患者中有4名患有严重的先天性心脏病，其中包括主动脉缩窄。在32例先天性心脏病新生儿中，11/13例（85%）左心梗阻性疾病新生儿血氧饱和度检查异常，15/19例（79%）其他形式的先天性心脏病新生儿血氧饱和度检查异常。脉搏血氧饱和度作为危重先天性心脏病的筛查试验值得进一步研究。
The aim of this study was to assess the utility of arm and leg oxygen saturation as a candidate screening test for the early detection of ductal-dependent left heart obstructive disease. We measured arm and leg oxygen saturation in 2876 newborns admitted to well baby nurseries and 32 newborns with congenital heart disease. Fifty-seven newborns in the well baby nurseries (0.02%) had an abnormal test (leg saturation less than 92% in room air or 7% lower saturation in the leg than in the arm). Four of the 57 had critical congenital heart disease, including I with coarctation of the aorta. Of the 32 newborns with congenital heart disease, 11/13 (85%) with left heart obstructive disease had abnormal oxygen saturation tests, as did 15/19 (79%) with other forms of congenital heart disease. Pulse oximetry deserves further study as a screening test for critical congenital heart disease.