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目的:探讨新生儿先天性心脏病(CHD)的标准化管理,使CHD能够规范的诊断、治疗及随访,确保临床治疗效果。方法:随机选取泰安市妇幼保健院2012年1月至2016年6月出生的6000例新生儿作为筛查标准化管理对象,依据先心病家族史、呼吸急促、青紫、特殊面容、心脏杂音、经皮血氧饱和度共6项临床指标,指定小儿心脏外科医生的诊断,定点定人超声诊断的协作管理办法,对筛查阳性且确诊为先心病的新生儿定期随访,制订新生儿先天性心脏病管理表,标准化管理。结果 :6000例接受监测的新生儿中,确诊为先心病患儿62例(12.4.‰)新生儿期手术4例,婴幼儿期手术36例,均治愈,无术后并发症的发生。受筛儿童死亡率降低,患者及家属的满意率得到明显提高。结论 :通过标准化的管理,结合新生儿先心病可靠的筛查手段,超声诊断,对出生的新生儿先天性心脏病进行有效地管理,对发现的新生儿先心病的保健、诊断、治疗、康复有重要意义,需要继续加强此项工作。
Objective: To explore the standardized management of neonatal congenital heart disease (CHD), so that CHD can regulate the diagnosis, treatment and follow-up, to ensure the clinical effect. Methods: 6,000 newborns born in Tai’an MCH from January 2012 to June 2016 were randomly selected for standardized screening. According to the family history of CHD, shortness of breath, bruising, special face, heart murmur, percutaneous A total of six clinical indicators of oxygen saturation, the designated pediatric cardiac surgeon diagnosis, fixed-point ultrasound diagnosis of collaborative management approach to screening positive and diagnosed as CHD neonatal regular follow-up, the development of neonatal congenital heart disease Management table, standardized management. Results: Among the 6,000 newborns monitored, 62 cases (12.4%) of children with congenital heart disease were diagnosed as neonatal period, 4 cases were infants and 36 cases were infants and young children. All cases were cured without any complications. Children under sieve mortality decreased, the satisfaction rate of patients and their families has been significantly improved. CONCLUSIONS: Neonatal congenital heart disease is effectively managed through standardized management combined with reliable screening of neonatal CHD and sonographic diagnosis. The health care, diagnosis, treatment, and rehabilitation of neonatal congenital heart disease It is of great significance that we need to continue to strengthen this work.