Suddaby E C
Inova Fairfax Hospital for Children, Fairfax, VA, USA.
Pediatr Nurs. 2001 May-Jun;27(3):233-8, 270.
Understanding congenital heart disease (CHD) in terms of three physiologic categories provides the pediatric nurse with practical, effective interventions for sick children. Children with increased pulmonary blood flow require support for congestive heart failure (CHF) symptoms including medications, increased caloric intake, and organization of care. Children with significantly decreased pulmonary blood flow need surgical intervention to create a path for pulmonary blood supply. Children with obstruction to systemic blood flow require support for both CHF symptoms and poor ventricular contractility. Shifting the focus of understanding from cyanotic and acyanotic defects to these three physiologic categories improves the pediatric nurse's capability to plan and care for children with CHD.
从三种生理分类的角度来理解先天性心脏病（CHD），能为儿科护士提供针对患病儿童的实用且有效的干预措施。肺血流量增加的儿童需要针对充血性心力衰竭（CHF）症状的支持，包括药物治疗、增加热量摄入以及护理安排。肺血流量显著减少的儿童需要手术干预来建立肺供血通道。体循环血流受阻的儿童需要针对CHF症状和心室收缩功能不良的支持。将理解的重点从青紫型和非青紫型缺陷转移到这三种生理分类上，可提高儿科护士为CHD患儿制定护理计划和提供护理的能力。
