苏丹心脏外科的重生。
The rebirth of cardiac surgery in Sudan.
作者信息
ElSayed Ahmed, Elnur Elamin Elawad
机构信息
Department of Surgery, AlShaab Teaching Hospital, Alzaeim Alazhari University, Khartoum, Sudan.
Department of Surgery, Ahmed Gasim Hospital, Bahri University, Bahri, Sudan.
出版信息
Cardiovasc Diagn Ther. 2016 Oct;6(Suppl 1):S20-S26. doi: 10.21037/cdt.2016.10.02.
BACKGROUND
Cardiac surgery is nowadays an integral part of a complete national health service.
METHODS
In this paper the rebirth of cardiac surgery in Sudan from 1998 till 2007 is given by means of a literature search, personal interviews and searching hospital records.
RESULTS
A summary of the initial birth of these services in 1959 till its demise in 1993 is first mentioned to set the stage for the subsequent period of sustainable growth. The surgical workforce and the surgical workload in the latter period is documented and showed that in the period from 1998 to 2007 2,868 open heart operations were done in three centers in Sudan. All these centers are based in Khartoum but they cater for all the country. It is estimated that (with the addition of two centers after the study period) the service provided would need to be quadrupled (by doubling the number of centers to 10 and increasing their capacity so as to cater for the whole country). The case mix of operations done is predominantly valvular comprising 63.2% of the total followed by congenital cardiac cases at 22.8% and then ischaemic at 11.9%.
CONCLUSIONS
The results imply that a big effort has to be done in the primary healthcare sector to try and eradicate rheumatic heart disease which is the main cause of the valvular lesions.
背景
心脏外科手术如今是国家完整医疗服务体系中不可或缺的一部分。
方法
本文通过文献检索、个人访谈以及查阅医院记录，介绍了1998年至2007年苏丹心脏外科手术的复兴情况。
结果
首先提及了这些服务于1959年初步诞生直至1993年衰落的概况，为后续可持续发展阶段奠定基础。记录了后期的外科手术人员和手术工作量，结果显示在1998年至2007年期间，苏丹的三个中心共进行了2868例心脏直视手术。所有这些中心都位于喀土穆，但服务覆盖全国。据估计（研究期后增加了两个中心），所提供的服务需要增加四倍（将中心数量翻倍至10个，并提高其服务能力以覆盖全国）。所开展手术的病例组合主要是瓣膜手术，占总数的63.2%，其次是先天性心脏病病例，占22.8%，缺血性心脏病病例占11.9%。
结论
结果表明，必须在初级卫生保健部门做出巨大努力，以尝试根除作为瓣膜病变主要原因的风湿性心脏病。
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