Ugonabo Nkem, Hirsch-Romano Jennifer C, Uzark Karen
University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Cardiac Surgery, University of Michigan Mott Children's Hospital, Ann Arbor, MI, USA.
World J Pediatr Congenit Heart Surg. 2015 Apr;6(2):266-73. doi: 10.1177/2150135114563771.
Although outcomes for infants with complex single ventricle heart defects have steadily improved in recent decades, there is still a significant risk for mortality and morbidity during the interstage period between stage 1 Norwood hospitalization discharge and stage 2 palliation. Home monitoring programs, which involve parental surveillance of daily weight and oxygen saturations during the interstage period, have been shown to significantly improve survival rates. This article describes the potential risk factors or causes of interstage mortality and reviews the role of home monitoring in early detection and potential prevention of adverse outcomes.
尽管近几十年来患有复杂单心室心脏缺陷的婴儿的治疗结果稳步改善，但在第1期诺伍德手术出院至第2期姑息治疗的过渡阶段，仍存在显著的死亡和发病风险。家庭监测项目，即在过渡阶段由父母监测每日体重和血氧饱和度，已被证明能显著提高生存率。本文描述了过渡阶段死亡的潜在风险因素或原因，并综述了家庭监测在早期发现及潜在预防不良结局中的作用。
