Tong E, Sparacino P S
Crit Care Nurs Clin North Am. 1994 Mar;6(1):199-214.
Advances in diagnosis, medical management, and surgical treatment of patients with congenital heart disease (CHD) have resulted in a dramatic increase in the number of children surviving to adulthood. Nurses and physicians are starting to recognize adolescents and young adults with CHD as a growing subspecialty group with unique challenges and needs. The question of who should follow these patients remains unsettled, and it is not uncommon to find adolescents and young adults with CHD on both pediatric and adult units. The special management needs of this population are discussed as well as strategies for teaching and counseling.
先天性心脏病（CHD）患者在诊断、药物治疗和手术治疗方面的进展，使得存活至成年期的儿童数量大幅增加。护士和医生开始认识到，患有CHD的青少年和青年是一个不断壮大的亚专业群体，他们面临着独特的挑战和需求。应由谁来照料这些患者的问题尚无定论，因此在儿科和成人科室都能见到患有CHD的青少年和青年，这并不罕见。本文讨论了这一人群的特殊管理需求以及教学和咨询策略。
