Tesarz Z
Probl Med Wieku Rozwoj. 1975;5:209-10.
Congenital cardiovascular system malformations (including more than 90 per cent of heart malformations) constitute the largest group among patients with congenital malformations. The high mortality of children with these malformations in the first year of life (with the greatest threat in the first month of life) subsequently diminishes. The mortality rates of infants from congenital cardiovascular system malformations high in Poland and are exhibit no tendency to decrease. In opposition to countries with a generalized, efficient cardiological, particularly cardiosurgical treatment (Table I). The rate of occurrence of congenital circulatory system malformations amounts to 8 per 1000 live-born children. Consequently about 4300 children are born annually in Poland with cardiovascular malformations. With the present development of surgical and anesthesiological technique, and according to the kind of heart malformation, the indications for cardiosurgery include some 1,400 children annually with congenital heart and great arteries annually. In the last years annually some 200-250 cardiac operations and surgery of great arteries in children are performed in Poland; this amounts to 15 per cent of the present need.
先天性心血管系统畸形（包括90%以上的心脏畸形）是先天性畸形患者中最大的群体。患有这些畸形的儿童在出生后第一年死亡率很高（在出生后第一个月威胁最大），随后死亡率会下降。波兰先天性心血管系统畸形婴儿的死亡率很高，且没有下降的趋势。这与那些拥有广泛、高效的心脏病学，尤其是心脏外科治疗的国家形成对比（表一）。先天性循环系统畸形的发生率为每1000名活产儿中有8例。因此，波兰每年约有4300名患有心血管畸形的儿童出生。随着目前外科和麻醉技术的发展，根据心脏畸形的类型，心脏外科手术的适应症每年约包括1400名患有先天性心脏病和大动脉疾病的儿童。在过去几年里，波兰每年约进行200 - 250例儿童心脏手术和大动脉手术；这仅占目前需求的15%。
