中国西部城镇儿童先天性心脏病诊治现状调查  

A glimpse of diagnosis and management situation in children with congenital heart disease at a west county of China

作　　者：余霞辉[1] 马小艳[1] 王顺华[1] 白永虹[2] 潘征夏[2] 吴晓云[2] 

机构地区：[1]四川省崇州市人民医院儿科,611230 [2]重庆医科大学儿童医院心脏中心,400014

出　　处：《重庆医学》2011年第7期683-685,共3页Chongqing medicine

摘　　要：目的探讨儿童先天性心脏病(CHD)在中国西部城镇的诊治现状及改进措施。方法对2005年1月至2008年12月在崇州市人民医院儿科住院期间确诊、疑诊的CHD患儿126例进行集中随访,通过病史询问、体格检查及超声心动图检查明确诊断,综合评价确诊病例的病情、需接受治疗的时机、方式及预后,并分析死亡患儿的死因。结果确诊CHD患儿50例,其中单纯性CHD 32例(64%),复杂性CHD 18例(36%);目前成活40例(80%),其中8例已接受手术治疗,32例尚未接受手术治疗;死亡10例(20%),主要死因为严重呼吸道感染、心力衰竭及缺氧发作。结论该地区CHD患儿术前死亡率及未接受手术治疗的比例较大,主要受限于当地对该病的认识和诊治水平,需专科医生及专业医院渗透到中小城镇,形成有效的诊治网络以帮助CHD患儿得到及时诊断和合理治疗。Objective To discuss the current situation of diagnosis and management in children with congenital heart disease（CHD）at a west county of China.Methods Case history inquiry,physical inspection and echocardiography were performed in 126 children suspected with CHD from January 2005 to December 2008 in People′s Hospital of Chongzhou.Results Of these children,50 were diagnosed as CHD.32 cases（64%） were simple CHD and 18 cases（36%）were complicate type.40 cases（80%）were survived.8 cases（16%）were surgically treated while the other 32 cases（64%）were not.10 cases（20%）died from severe respiratory infection,heart failure and anoxia before cardiac surgery.Conclusion Preoperative mortality and the ratio of uncured cases are relatively high due to the limitation of recognition,diagnosis and management in the local hospitals.Pediatric cardiologist and local pediatrician need work together to deal with CHD patients in middle or small county.Medical network should be established to solve these problems effectively.

关 键 词：心脏病 外科手术 心导管介入治疗 医疗网络 

分 类 号：R726.5[医药卫生—儿科]