Nana Apichart, Laohaprasitiporn Duangmanee, Soongswang Jarupim, Durongpisitkul Kritvikrom
Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2002 Aug;85 Suppl 2:S613-29.
The incidence of congenital heart disease (CHD) at Siriraj Hospital for the year 2000 was 4.36 patients per 1,000 livebirths. Types of congenital heart diseases seen by the authors were VSD (18.3%), PDA (16.3%), ASD (16.3%), combined simple left to right shunt lesion (24.7%), tetralogy of Fallot (TF; 6%), D-TGA 2 per cent, other complex congenital heart 8 per cent. Overall 3 out of 1,000 livebirths will have congenital heart disease that will require immediate intervention including cardiac catheterization and surgical intervention. At the same period of time an average of 750 new cases of children were referred annually for evaluation and treatment of cardiac related problems. Reports of acquired heart disease such as acute rheumatic fever, myocarditis, Kawasaki's disease and arrhythmia problem were summarized here. The Division of Pediatric Cardiology performs both diagnostic and intervention cardiac catheterization in almost 310 children and adults with congenital heart disease yearly. Out of this 35 per cent had interventional procedures including balloon valvuloplasty, balloon angioplasty and stenting, device closure of atrial septal defect and patent ductus arteriosus and radiofrequecy ablation of abnormal conduction pathway. Major progress has been made in pediatric cardiac imaging over the past two decades. At Her Majesty's Cardiac Center, cardiac MRI has been used to evaluate patients with congenital heart disease since June 2000. There were 146 congenital heart disease patients who had cardiac MRI performed for the evaluation of anatomy, function, left to right shunt, and flow regurgitation quantification.
Pediatric Cardiology practice has evolved over the past decade and expanded from clinical practice to therapeutic intervention procedures.
2000年诗里拉吉医院先天性心脏病（CHD）的发病率为每1000例活产中有4.36例患者。作者所见到的先天性心脏病类型包括室间隔缺损（VSD，18.3%）、动脉导管未闭（PDA，16.3%）、房间隔缺损（ASD，16.3%）、单纯性左向右分流合并病变（24.7%）、法洛四联症（TF，6%）、完全性大动脉转位（D-TGA，2%）、其他复杂先天性心脏病（8%）。每1000例活产中总体有3例会患有需要立即干预的先天性心脏病，包括心导管插入术和外科手术干预。在同一时期，平均每年有750例儿童新病例因心脏相关问题被转诊来进行评估和治疗。这里总结了诸如急性风湿热、心肌炎、川崎病和心律失常问题等后天性心脏病的报告。儿科心脏病学部门每年为近310例患有先天性心脏病的儿童和成人进行诊断性和介入性心导管插入术。其中35%接受了介入手术，包括球囊瓣膜成形术、球囊血管成形术和支架置入术、房间隔缺损和动脉导管未闭的器械封堵术以及异常传导通路的射频消融术。在过去二十年里，儿科心脏成像取得了重大进展。在女王心脏中心，自2000年6月起已使用心脏磁共振成像（MRI）来评估先天性心脏病患者。有146例先天性心脏病患者接受了心脏MRI检查，以评估解剖结构、功能、左向右分流以及血流反流定量。
儿科心脏病学实践在过去十年中不断发展，已从临床实践扩展到治疗干预程序。
