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Yenidoğanlarda Konjenital Gastrointestinal Sistem Malformasyonlari İle Birlikte Görülen Konjenital Kalp Hastaliğini Yeterince Değerlendirebiliyor muyuz?

Congenital Heart Disease Associated With Gastrointestinal System Malformations In The Newborn: Is It Sufficiently Evaluated?

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: We aimed to reveal the difference in the rate of congenital heart disease (CHD) presence between the neonates with and without cardiac murmurs in neonates with congenital gastrointestinal malformations (CGM). Patients and methods: We report on 115 infants treated between 1995-2000 with CGM. In group A, echocardiographies were performed only to those with murmurs. Group B, all patients had undergone echocardiography (ECHO) examination. Results: CHD diagnosis was established in 6% and 18% of group A and B patients, respectively (x2: 3.95, p<0.05). Conclusion: It has been shown that physical examination itself is not reliable in diagnosing CHD. We recommend routine ECHO evaluation with or without murmur in all neonates with CGM.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı kardiak üfürümü olan ve olmayan konjenital gastrointestinal sistem malformasyonlu yenidoğanlar arasındaki konjenital kalp hastalığı (KKH) oranında fark olup olmadığını ortaya çıkarmaktır. Hastalar ve metot: 1995-2000 yılları arasında konjenital gastrointestinal malformasyon (KGM) tanısı ile tedavi edilen 115 infant rapor edildi. A grubunda sadece üfürümü olan yenidoğanlara Ekokardiografi (EKO) yapılırken, B grubunda üfürüm gözetmeksizin tüm olgulara EKO yapıldı. Bulgular: A ve B grubundaki yenidoğanlarda KKH tanısı sırası ile %6 ve %18 idi. (x2: 3.95, p<0.05). Sonuç: KKH tanısında tek başına fizik muayenenin güvenilir olmadığı gösterilmiştir. Konjenital gastrointestinal sistem malformasyonu olan tüm yenidoğanlara üfürüm olsun ya da olmasın rutin EKO yapılmasını öneriyoruz.
FULL TEXT (PDF): 
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  • 4
229-232
  • Turkish

REFERENCES

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