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[未经手术治疗的先天性心脏病患儿的生存概率]

[The probability of survival in children with heart defects not treated surgically].

作者信息

Samánek M, Hrycejová I

出版信息

Cesk Pediatr. 1989 Apr;44(4):199-203.

PMID:2736644
Abstract

Data on the age at death of children with congenital heart disease recorded 27 years before the introduction of cardiacsurgery on a territory where all deceased children were subjected to necropsy and data on the incidence of heart disease in the child population in Bohemia were used to calculate probable survival. Of liveborn infants with heart disease 90% surviev the first week, 86% the first month, 74% six month, 71% the first year and 67% 15 years. Pulmonary stenosis and a ventricular septal defect have the most favourable prognosis. The syndrome of a hypoplastic left heart, double outlow right ventricle, total anomalous pulmonary venous return, arterial truncus and pulmonary atresia have the most adverse prognosis.

摘要

在心脏手术开展前27年记录的某地区先天性心脏病患儿的死亡年龄数据,该地区所有死亡儿童均接受了尸检,同时利用波希米亚儿童人群中心脏病发病率的数据来计算可能的生存率。患有心脏病的活产婴儿中,90%能存活至第一周,86%存活至第一个月,74%存活至六个月,71%存活至第一年,67%存活至15岁。肺动脉狭窄和室间隔缺损的预后最为良好。左心发育不全综合征、右心室双出口、完全性肺静脉异位引流、动脉干和肺动脉闭锁的预后最为不良。

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