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印度尼西亚小儿心脏外科的发展——千岛之国与少数几个中心

Development of pediatric cardiac surgery in Indonesia-a thousand islands and a handful of centers.

作者信息

Rahmat Budi, Wardana Putu Wisnu Arya

机构信息

Pediatric and Congenital Heart Surgery Unit, National Cardiovascular Center Harapan Kita, Letjen S. Parman Kav.87, West Jakarta, DKI Jakarta 11420 Indonesia.

Department of Cardiothoracic and Vascular Surgery, Siloam Hospital, Kuta, Bali, Indonesia.

出版信息

Indian J Thorac Cardiovasc Surg. 2025 Jun;41(6):807-811. doi: 10.1007/s12055-024-01793-8. Epub 2024 Aug 19.

DOI:10.1007/s12055-024-01793-8
PMID:40417604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12102011/
Abstract

Providing good medical access for patients with congenital heart disease (CHD) is still a significant issue in most developing countries, including Indonesia. With approximately 50,000 newborns with CHD annually, the development of pediatric cardiac surgery in Indonesia needs to be intensified. After the establishment of the National Cardiovascular Center Harapan Kita in 1985, followed by other centers, the development of pediatric cardiac surgery in Indonesia has surpassed several milestones in treating CHD. However, some main problems, including lack of human, medical, and financial resources, lack of education centers, and uneven distribution of the centers, still need to be solved urgently with the cooperation of medical health providers, the government, and the stakeholders.

摘要

在包括印度尼西亚在内的大多数发展中国家,为先天性心脏病(CHD)患者提供良好的医疗服务仍然是一个重大问题。印度尼西亚每年约有50000名患有先天性心脏病的新生儿,因此需要加强该国小儿心脏外科的发展。1985年印度尼西亚国家心血管中心“希望之心”成立,随后其他中心也相继成立,印度尼西亚小儿心脏外科在治疗先天性心脏病方面取得了几个重要的里程碑式进展。然而,一些主要问题,包括人力、医疗和财政资源短缺、教育中心匮乏以及中心分布不均等,仍亟需医疗卫生服务提供者、政府和利益相关者合作解决。

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本文引用的文献

1
Barriers to Accessing Congenital Heart Surgery in Low- and Middle-Income Countries: A Systematic Review.中低收入国家获得先天性心脏病手术的障碍:系统评价。
World J Pediatr Congenit Heart Surg. 2024 Jan;15(1):94-103. doi: 10.1177/21501351231204328. Epub 2023 Nov 1.
2
Delayed diagnosis in children with congenital heart disease: a mixed-method study.先天性心脏病患儿的延迟诊断:一项混合方法研究。
BMC Pediatr. 2021 Apr 21;21(1):191. doi: 10.1186/s12887-021-02667-3.
3
Thymus size and its correlates among children admitted with severe acute malnutrition: a cross-sectional study in Uganda.胸腺大小及其与重症急性营养不良患儿的相关性:乌干达的一项横断面研究。
BMC Pediatr. 2021 Jan 4;21(1):1. doi: 10.1186/s12887-020-02457-3.
4
The improvement of care for paediatric and congenital cardiac disease across the World: a challenge for the World Society for Pediatric and Congenital Heart Surgery.全球小儿及先天性心脏病护理的改善:世界小儿及先天性心脏病外科学会面临的一项挑战。
Cardiol Young. 2008 Dec;18 Suppl 2:63-9. doi: 10.1017/S1047951108002801.
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Pediatric cardiac surgery in Indonesia.印度尼西亚的小儿心脏外科手术。
Cardiol Young. 1998 Oct;8(4):437-9. doi: 10.1017/s1047951100007071.