Pediatrics. Consilium MedicumPediatrics. Consilium MedicumПедиатрия. Consilium Medicum2658-66302658-6622Consilium Medicum68880110.26442/26586630.2025.4.203399ArticlesСтатьиResearch ArticleUltrasound evaluation of persistent pulmonary hypertension of the newbornУльтразвуковая оценка персистирующей легочной гипертензии новорожденныхhttps://orcid.org/0000-0002-8033-665XTarasovaAlla A.ТарасоваАлла Алексеевна
Russian Federation

D. Sci. (Med.), Prof.

д-р мед. наук, проф., проф. каф. лучевой диагностики детского возраста

tarasova-aa@yandex.ruRussian Medical Academy of Continuous Professional EducationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России28122025435535807082025Copyright ©; 2025, Consilium MedicumCopyright ©; 2025, ООО "Консилиум Медикум"2025Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://pediatria.orscience.ru/2658-6630/article/view/688801

Persistent pulmonary hypertension of the newborn (PPHN) is an urgent problem in neonatology and one of the leading causes of neonatal morbidity. PPHN is currently the most common cause of transient PH. PPHN usually occurs immediately after birth, persists during the first week of life, or later, depending on the degree of prematurity and immaturity of the newborn's lungs. Neonates with PPHN are at high risk for severe respiratory failure and asphyxia and its complications. Ultrasound examination of the heart is the primary method for diagnosing PPHN and is crucial for targeted treatment. Despite the existing ultrasound indicators, none of them is the final prognostic criterion for assessing PH; therefore, it is recommended that a newborn always undergo a comprehensive ultrasound of the heart, considering the specific features of the neonatal period.

Персистирующая легочная гипертензия новорожденных (ПЛГН) является актуальной проблемой в неонатологии и одной из основных причин неонатальной заболеваемости. В настоящее время ПЛГН – наиболее частая причина транзиторной артериальной ЛГ. ПЛГН обычно возникает сразу после рождения, сохраняется в течение 1-й недели жизни или в более поздние сроки в зависимости от степени недоношенности и незрелости легких новорожденных. Новорожденные с ПЛГН подвержены высокому риску тяжелой дыхательной недостаточности, асфиксии и ее осложнений. Ультразвуковое исследование (УЗИ) сердца является основным методом диагностики ПЛГН и имеет важное значение для целенаправленного лечения. Несмотря на существующие УЗ-показатели, ни один из них не является конечным прогностическим критерием для оценки ЛГ, в связи с чем новорожденным рекомендуется всегда проводить комплексное УЗИ сердца с учетом особенностей неонатального периода их жизни.

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