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小儿诊断性心导管检查:一家三级护理小儿心脏中心的经验

Diagnostic pediatric cardiac catheterization: Experience of a tertiary care pediatric cardiac centre.

作者信息

Kumar Prabhat, Joshi Vidya Sagar, Madhu P V

机构信息

Senior Advisor (Pediatrics & Pediatric Cardiology), Military Hospital (CTC) Pune 40, India.

Senior Advisor (Cardiothoracic Anaesthesiology), Military Hospital (CTC), Pune 40, India.

出版信息

Med J Armed Forces India. 2014 Jan;70(1):10-6. doi: 10.1016/j.mjafi.2013.01.002. Epub 2013 Apr 9.

Abstract

BACKGROUND

Cardiac catheterization was considered gold standard for confirmation of diagnosis and analyzing various management issues in congenital heart diseases. In spite of development of various non invasive tools for investigation of cardiac disorders diagnostic catheterization still holds an important place in pediatric patients.

METHODS

300 consecutive diagnostic cardiac catheterization performed since April 2007 were included in this study. The study was undertaken to evaluate the profile of patients undergoing diagnostic cardiac catheterization, its results, assess its safety and its contribution toward solving various management issues.

RESULT & CONCLUSION: Children who underwent cardiac catheterization ranged in weight from 1.6 kg to 35 kg, with their age range 0 day-12 years. The information obtained was of great importance for further management in over 90% cases. The procedure of cardiac cath is invasive, still it was proved to be quite safe even in smallest baby.

摘要

背景

心导管检查被认为是确诊先天性心脏病并分析各种治疗问题的金标准。尽管用于心脏疾病检查的各种非侵入性工具不断发展,但诊断性心导管检查在儿科患者中仍占据重要地位。

方法

本研究纳入了自2007年4月起连续进行的300例诊断性心导管检查。该研究旨在评估接受诊断性心导管检查的患者情况、检查结果,评估其安全性以及其对解决各种治疗问题的贡献。

结果与结论

接受心导管检查的儿童体重在1.6千克至35千克之间,年龄范围为0天至12岁。在超过90%的病例中,所获得的信息对进一步治疗非常重要。心导管检查是一种侵入性操作,但即便对最小的婴儿而言,事实证明该操作也是相当安全的。

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本文引用的文献

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Diagnosis and management of cyanotic congenital heart disease: part II.青紫型先天性心脏病的诊断与管理:第二部分。
Indian J Pediatr. 2009 Mar;76(3):297-308. doi: 10.1007/s12098-009-0056-7. Epub 2009 Apr 6.
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Pulmonary hypertensive diseases.肺动脉高压疾病
Paediatr Respir Rev. 2000 Dec;1(4):361-7. doi: 10.1053/prrv.2000.0077.
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Recent advances in non-interventional pediatric cardiac catheterization.
Curr Opin Cardiol. 2005 Mar;20(2):75-9. doi: 10.1097/01.hco.0000154067.99851.4a.

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