Brooks Paul A, Penny Daniel J
Department of Cardiology, The Royal Children's Hospital, Melbourne, Australia.
Early Hum Dev. 2008 Mar;84(3):155-9. doi: 10.1016/j.earlhumdev.2008.01.011. Epub 2008 Mar 7.
A proportion of symptomatic neonates with congenital heart disease have lesions requiring urgent stabilisation. Despite increasing antenatal diagnoses, the importance of early recognition of symptomatic neonates is highlighted by the fact that up to 10% of all deaths in congenital heart disease continue to occur in children undiagnosed at the time of death. Specific anatomical knowledge of the many complex lesions is not required for good early management. The focus of this article is the specific symptom complexes in critically ill neonates with congenital heart disease, initial management strategies for stabilization and transfer to specialist centres, and issues in the ongoing preoperative care.
一部分有症状的先天性心脏病新生儿存在需要紧急稳定病情的病变。尽管产前诊断有所增加，但仍有高达10%的先天性心脏病患儿在死亡时未被诊断出来，这一事实凸显了早期识别有症状新生儿的重要性。早期良好的管理并不需要对众多复杂病变有具体的解剖学知识。本文的重点是患有先天性心脏病的危重新生儿的特定症状组合、稳定病情并转至专科中心的初始管理策略以及术前持续护理中的问题。
