新生儿先天性心脏病的术前护理。
Preoperative Care of Neonates With Congenital Heart Disease.
出版信息
Neonatal Netw. 2022 Jul 1;41(4):200-210. doi: 10.1891/NN-2021-0028.
Abstract
Congenital heart disease (CHD) is one of the most common types of birth defects, with 40,000 newborns diagnosed yearly in the United States. This article describes: (1) four common heart defects seen in neonatal intensive care units, (2) the typical medical/nursing care of these neonates, and (3) common surgical management for the defects. Hypoplastic left heart syndrome, dextro-transposition of the great arteries, tetralogy of Fallot, and pulmonary atresia with intact ventricular septum are four common types of CHD requiring NICU admission. Knowledge of these defects will help nurses to appropriately manage and treat neonates with these types of CHD.
摘要
先天性心脏病（CHD）是最常见的出生缺陷之一，在美国，每年有 4 万名新生儿被诊断出患有该病。本文描述了：（1）新生儿重症监护病房中常见的四种心脏缺陷，（2）这些新生儿的典型医疗/护理，以及（3）这些缺陷的常见手术治疗方法。左心发育不全综合征、大动脉右旋转位、法洛四联症和室间隔完整的肺动脉闭锁是四种常见的需要入住新生儿重症监护病房的 CHD 类型。了解这些缺陷将有助于护士对患有这些类型 CHD 的新生儿进行适当的管理和治疗。
相似文献
1
Preoperative Care of Neonates With Congenital Heart Disease.新生儿先天性心脏病的术前护理。
Neonatal Netw. 2022 Jul 1;41(4):200-210. doi: 10.1891/NN-2021-0028.
2
The neonate with suspected congenital heart disease.疑似患有先天性心脏病的新生儿。
Crit Care Nurs Q. 2002 Nov;25(3):17-25. doi: 10.1097/00002727-200211000-00004.
3
Effects of universal critical CHD screening of neonates at a mid-sized California congenital cardiac surgery centre.加利福尼亚州一家中型先天性心脏病外科中心对新生儿进行普遍临界 CHD 筛查的效果。
Cardiol Young. 2022 Feb;32(2):236-243. doi: 10.1017/S1047951121001797. Epub 2021 May 24.
4
Does prenatal diagnosis of critical congenital heart diseases influence the prereferral mortality in a center without surgical intervention?在一个没有手术干预的中心，对严重先天性心脏病进行产前诊断是否会影响转诊前死亡率？
J Matern Fetal Neonatal Med. 2019 Oct;32(20):3431-3434. doi: 10.1080/14767058.2018.1465551. Epub 2018 Apr 30.
5
Necrotizing Enterocolitis and Associated Mortality in Neonates With Congenital Heart Disease: A Multi-Institutional Study.先天性心脏病新生儿坏死性小肠结肠炎及其相关死亡率：一项多机构研究。
Pediatr Crit Care Med. 2020 Mar;21(3):228-234. doi: 10.1097/PCC.0000000000002133.
6
Critical congenital cardiac defects in the newborn.新生儿严重先天性心脏缺陷
J Perinat Neonatal Nurs. 1999 Mar;12(4):67-87. doi: 10.1097/00005237-199903000-00007.
7
Consanguineous marriage and congenital heart defects: a case-control study in the neonatal period.近亲结婚与先天性心脏缺陷：一项新生儿期病例对照研究
Am J Med Genet A. 2006 Jul 15;140(14):1524-30. doi: 10.1002/ajmg.a.31309.
8
State of the art of cardiac surgery in patients with congenital heart disease.先天性心脏病患者心脏手术的现状。
J Cardiovasc Med (Hagerstown). 2007 Jan;8(1):3-6. doi: 10.2459/01.JCM.0000247427.44204.0d.
9
Influence of the type of congenital heart defects on epithelial lining fluid composition in infants undergoing cardiac surgery with cardiopulmonary bypass.体外循环下心内直视手术患儿先天性心脏病类型对肺表面活性物质组成的影响
Pediatr Res. 2018 Apr;83(4):791-797. doi: 10.1038/pr.2017.326. Epub 2018 Feb 7.
10
Management of the neonate after the arterial switch operation for transposition of the great arteries and intact ventricular septum.大动脉转位且室间隔完整的患儿行动脉调转术后新生儿的管理。
Prog Cardiovasc Nurs. 1989 Jul-Sep;4(3):89-98.
引用本文的文献
1
Association of bundled care interventions in improving outcomes for pediatric patients with congenital heart disease: a retrospective clinical evaluation.综合护理干预对改善先天性心脏病患儿预后的影响：一项回顾性临床评估
Front Pediatr. 2025 Mar 4;13:1525020. doi: 10.3389/fped.2025.1525020. eCollection 2025.
2
Association of preoperative cerebral oxygenation with concurrent neurobehavioral scores in term neonates with congenital heart disease compared to healthy controls.与健康对照组相比，先天性心脏病足月新生儿术前脑氧合与同期神经行为评分的相关性。
Front Pediatr. 2025 Feb 14;13:1482257. doi: 10.3389/fped.2025.1482257. eCollection 2025.
本文引用的文献
1
Impacts of prenatal diagnosis of congenital heart diseases on outcomes.先天性心脏病产前诊断对结局的影响。
Transl Pediatr. 2021 Aug;10(8):2241-2249. doi: 10.21037/tp-20-267.
2
Six-Year Neurodevelopmental Outcomes for Children With Single-Ventricle Physiology.单心室生理学患儿的 6 年神经发育结局。
Pediatrics. 2021 Feb;147(2). doi: 10.1542/peds.2020-014589. Epub 2021 Jan 13.
3
Ventricular and total brain volumes in infants with congenital heart disease: a longitudinal study.先天性心脏病婴儿的心室和全脑体积：一项纵向研究。
J Perinatol. 2020 Sep;40(9):1383-1388. doi: 10.1038/s41372-020-0711-4. Epub 2020 Jun 16.
4
Procedural, pregnancy, and short-term outcomes after fetal aortic valvuloplasty.胎儿主动脉瓣成形术后的手术、妊娠及短期结局
Catheter Cardiovasc Interv. 2020 Sep 1;96(3):626-632. doi: 10.1002/ccd.28846. Epub 2020 Mar 26.
5
6
National population-based estimates for major birth defects, 2010-2014.2010-2014 年全国主要出生缺陷发生率的基于人群的估计。
Birth Defects Res. 2019 Nov 1;111(18):1420-1435. doi: 10.1002/bdr2.1589. Epub 2019 Oct 3.
7
Neurodevelopmental outcome of children with congenital heart disease.先天性心脏病患儿的神经发育结局
Handb Clin Neurol. 2019;162:329-345. doi: 10.1016/B978-0-444-64029-1.00016-3.
8
Hypoplastic Left Heart Syndrome: An Overview for Primary Care Providers.左心发育不全综合征：初级保健提供者概述
Pediatr Rev. 2019 Jul;40(7):344-353. doi: 10.1542/pir.2018-0005.
9
Acute therapy of newborns with critical congenital heart disease.患有严重先天性心脏病新生儿的急性治疗。
Transl Pediatr. 2019 Apr;8(2):114-126. doi: 10.21037/tp.2019.04.06.
10
Management of Congenital Heart Disease: State of the Art-Part II-Cyanotic Heart Defects.先天性心脏病的管理：最新技术——第二部分——青紫型心脏缺陷
Children (Basel). 2019 Apr 4;6(4):54. doi: 10.3390/children6040054.
Zotero 插件