黎巴嫩一家三级医疗中心的儿科心脏病学现状。

Arabi Mariam, Majdalani Marianne, El Hajj Maria Atoui, Nemer Georges, Sawaya Fadi, Obeid Mounir, Bitar Fadi F

Department of Pediatrics, American University of Beirut Medical Center, Beirut, Lebanon.

J Med Liban. 2011 Jul-Sep;59(3):136-42.

PROBLEM

Cardiac disease, both congenital and acquired, contributes significantly to morbidity and mortality in children.

METHODS

This article describes the status of pediatric cardiology at the Children's Heart Center in the American University of Beirut Medical Center. It addresses the available clinical services as well as the research and educational activities that are present at a tertiary center in Lebanon, a developing country with a population of 4 million.

RESULTS

Lebanon has witnessed major developments in the field of pediatric cardiology over the past few years. About 650 babies are born with heart disease every year, with more than 425 needing treatment. Nearly all types of interventional catheterization procedures are currently being performed. About 300 open and closed pediatric cardiac surgeries are performed per year in Lebanon. In 2008, the in-hospital surgical mortality rate at our center was 2.6%, reflecting the good level of care in the treatment of children with congenital heart disease (CHD) in Lebanon. Basic research in the field of pediatric cardiology is emerging at our center. Our team has been studying the effect of chronic hypoxemia on the neonatal myocardium in an animal model of chronic hypoxia, as well as the study of molecular basis of CHD.

CONCLUSION

Appropriate identification of cardiac disease, its epidemiology, and outcome is of utmost importance in guiding adequate care. Centralization of facilities is important to improve results and level of care.

问题

先天性和后天性心脏病在儿童发病和死亡中占很大比例。

方法

本文描述了贝鲁特美国大学医疗中心儿童心脏中心的儿科心脏病学现状。它涉及黎巴嫩一个拥有400万人口的发展中国家的三级中心现有的临床服务以及研究和教育活动。

结果

黎巴嫩在过去几年里见证了儿科心脏病学领域的重大发展。每年约有650名患有心脏病的婴儿出生，其中425多名需要治疗。目前几乎所有类型的介入导管手术都在开展。黎巴嫩每年约进行300例小儿心脏开放手术和闭合手术。2008年，我们中心的住院手术死亡率为2.6%，这反映出黎巴嫩在先天性心脏病（CHD）患儿治疗方面的良好护理水平。我们中心正在开展儿科心脏病学领域的基础研究。我们的团队一直在慢性缺氧动物模型中研究慢性低氧血症对新生儿心肌的影响，以及先天性心脏病的分子基础研究。