改訂2版 新生児の心エコー入門

出版社: メディカ出版
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発行日: 2024-07-20
分野: 臨床医学:内科  >  周産期(新生児)
ISBN: 9784840485067
電子書籍版: 2024-07-20 (電子書籍版)
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適切な手技で的確な心エコー所見を得て、病態に応じた循環管理を展開することが、新生児を診る医師には求められる。循環管理の基本から、心形態の観察、心機能評価、先天性心疾患の管理まで、スマートフォンですぐアクセスできる超音波動画で解説。心エコーと新生児循環管理の最前線もこの一冊に。心エコー検査の習熟を目指す新生児科医・小児循環器科医必携の書。

目次

  • 【Chapter I 新生児心エコーことはじめ】
    ■1 新生児の循環生理
    ■2 心エコー検査前に確認しておくべき循環症状
    ■3 エコー検査実施前の環境整備とエコーの基本

    【Chapter II 形態の観察】
    ■1 四腔断面
    ■2 五腔断面
    ■3 二腔断面
    ■4 短軸断面
    ■5 長軸断面
    ■6 大動脈弓断面
    ■7 剣状突起下断面
    ■8 右胸壁アプローチ

    【Chapter III 機能の評価】
    ■1 心機能評価
    ■2 内大脳静脈血流波形の揺らぎ
    ■3 臓器血流の評価
    ■4 2次元スペックルトラッキング法
    ■5 3次元エコー

    【Chapter IV 生後早期の適応障害と先天性心疾患】
    ■1 未熟児動脈管開存症(未熟児PDA)
    ■2 生後早期の早産児循環不全(Stress-Velocity関係の活用法)
    ■3 新生児遷延性肺高血圧症(PPHN)
    ■4 新生児遷延性肺高血圧症と鑑別すべき心疾患
    ■5 重症先天性心疾患の胎児診断
    ■6 総肺静脈還流異常症(TAPVC)
    ■7 完全大血管転位症(TGA)
    ■8 動脈管依存性先天性心疾患
    ■9 心室中隔に欠損孔がある心疾患
    ■10 双胎間輸血症候群(TTTS)
    ■11 新生児慢性肺疾患に合併した肺高血圧症(CLD-PH)

    【Chapter V 循環作動薬の使い方】

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Chapter I 新生児心エコーことはじめ

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Chapter II 形態の観察

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Chapter III 機能の評価

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20) 伊藤由依ほか. 肺高血圧症例の3D心エコー両心室解析による検討. 新生児成育医学会雑誌. 29(3), 2017, 612.
21) 大村隼也ほか. 先天性横隔膜ヘルニアの重症度と3次元エコーによる右心機能評価との関係. 日本新生児成育医学会雑誌. 30(3), 2018, 673.
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23) 豊島勝昭ほか. 極低出生体重児における3次元エコー検査による右室機能評価の標準値の検討. 日本新生児成育医学会雑誌. 31(3), 2019, 713.
24) 神谷雄作ほか. 早産児の3次元心臓超音波検査:検者間誤差改善への取り組み. 日本新生児成育医学会雑誌. 32(1), 2020, 149-60.

Chapter IV 生後早期の適応障害と先天性心疾患

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Chapter V 循環作動薬の使い方

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21) Kelly LE, et al. Sildenafil for pulmonary hypertension in neonates. Cochrane Database Syst Rev. 2017;8:CD005494.
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25) Shivanna B, et al. Vasopressin and its analogues for the treatment of refractory hypotension in neonates. Cochrane Database Syst Rev. 2013;(3):CD009171.

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