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| 題 名 | 先天性心臟病兒童矯正手術對生長之影響 |
|---|---|
| 作 者 | 吳玉村; 趙治中; 張嘉侃; | 書刊名 | 中華民國小兒科醫學會雜誌 |
| 卷 期 | 27:3 民75.05-06 |
| 頁 次 | 頁246-250 |
| 分類號 | 417.62311 |
| 關鍵詞 | 矯正手術; 生長; 先天性心臟病; 兒童; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 患有先天性心臓病的嬰兒和孩童,其生長發育都會較為遲滯,尤其是身高和體重,都要比同年齡層之正常兒童為低。而國外亦有許多文獻指出,這些先天性心臟病病童在接受手術治療,矯正其結構或血行動力學上的異常和組織缺氧的現象後,其身高高和體重大多有改善的情形,甚至可恢復到正常的生長曲線。我們收集71例先天性心臓病兒童,依發紺性和非發紺性分為兩組,比較其手術前後,身高和體重之變化。我們發現,無論是發紺性或非發紺性的組羣中,經過矯正手術後,其身高與體重均有明顯的改善(P<0.005)。但在發紺性主非發紺性的組羣間、身高與體重間、男孩與女孩間相互比校,則無顯著的差異(P值約>0.1)。 |
| 英文摘要 | Growth disturbance is a major consequence of congenital heart disease in infancy and childhood. The growth failure of infants and children with congenital heart disease is due to multiple and complex factors. However, correction of the hemodynamic abnormality of the heart usually results in an acceleration of growth rate, and even the size of the heart may return to normal. There were 71 cases of congenital heart disease in this study (male/female=33/38). All of them received corrective, operation and were followed in the out-patient department. Of them, 36 patients were ventricular septal defect (VSD), 13 patent ductus arteriosus (PDA), 5 atrial septal defect, 4 VSD associated with PDA, 1 pulmonary stenosis and 12 tetralogy of Fallot. The mean period of follow-up study was 4.68±2.34 years. Before surgery 21 cases (30.9%) were below the 16th percentile in weight and 16 (24.6%) below the 16th percentile in height of normal population. After surgery only 3 cases (4.2%) were below the 16th percentile in weight and 3 (4.5%) below the 16th percentile in height of normal population, It showed, therefore, a significant improvement on growth in infants and children with congenital heart disease. But the improvement in growth of acyanotic and cyanotic groups was not significant (P>0.1). Also, there was no difference in height and weight between boys and girls (P>0.1). |
本系統中英文摘要資訊取自各篇刊載內容。