Miner P D, Canobbio M M
Adult Congenital Heart Disease Center, UCLA Medical Center 90024-1679.
Nurs Clin North Am. 1994 Jun;29(2):249-67.
In adults with cyanotic congenital heart disease (CHD), medical considerations apply to nonsurgical survivors and to postsurgical patients. The special needs of these groups present a unique challenge for the adult care practitioner. Clinical management revolves around the physiologic consequences of a right-to-left shunt. The care of the cyanotic CHD patient must encompass not only the physiologic variables that set these patients apart from the "typical" adult with acquired cardiovascular disease but also the lifelong psychosocial impact of their congenital heart program.
对于患有青紫型先天性心脏病（CHD）的成年人，医疗考量适用于非手术存活者和术后患者。这些群体的特殊需求给成人护理从业者带来了独特的挑战。临床管理围绕着右向左分流的生理后果展开。对青紫型CHD患者的护理不仅必须涵盖使这些患者有别于患有后天性心血管疾病的“典型”成年人的生理变量，还必须考虑其先天性心脏病治疗对其一生的心理社会影响。
