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頁籤選單縮合
題名 | A Clinical Observation of Term Infants with Critical Cardiovascular Disorders=患嚴重心臟血管疾病的足月嬰兒之臨床觀察 |
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作者姓名(中文) | 李必昌; 黃碧桃; 邢榮華; 陸振翮; 孟春昌; | 書刊名 | 中華醫學雜誌 |
卷期 | 58:2 1996.08[民85.08] |
頁次 | 頁103-107 |
分類號 | 417.5223 |
關鍵詞 | 先天性心臟病; 心衰竭; 發紺; 嬰兒; Congenital heart disease; Congestive heart failure; Cyanosis; Infant; |
語文 | 英文(English) |
中文摘要 | 背景 自1990年7月至1993年12月,共有210例足月嬰兒,因患嚴 重心臟血管疾病而住進台北榮民總醫院小兒及新生兒加護病房。 方法 以回溯病歷方式,分析此210例嬰兒的發病原因,臨床症狀,緊急內外 科治療及其預後。 結果 研究結果發現最常見的病因是各種先天性心臟畸形。其中包括心室中隔 缺損(20姐),法洛氏四合病(10.5%),大動脈轉位(9.5%)。最常見的臨床症狀是心 衰竭(77.1%),及發紺(65.2%)。雖經各種內外科治療,其預後仍然令人不滿意。 不論是否合併心衰竭,其死亡率相同,但病嬰合併發紺症狀者,其手術後的死 亡率比無發紺症狀者為高(28.5% vs 5.5%, p < 0.05)。 結論 所以,嬰兒合併嚴重心臟血管症狀者,雖經內外科加護治療,其預後仍 是很差的。 |
英文摘要 | Background. Cardiovascular disorders are known to be the major causes for infants requiring intensive care. The consequences of the treatment given to these infants suffering from congestive heart failure and/ or cyanosis need to be evaluated. Methods. A total of 210 infants both at term suffering from critical cardiovascular problems were hospitalized in the pediatric and neonatal ICU between July 1990 and December 1993. The etiology, clinical data, emergency procedures and outcomes of infants with or without congestive heart failure or cyanosis were analyzed. Results. Congenital cardiac defects were the most common cause of critical cardiovascular disorders in infancy. These included ventricular septal defect in 42 (20%), Tetralogy of Fallot in 22 (10.5%), D-transposition of the great arteries in 20 (9.5%) cases, etc. The most common symptoms and signs observed were congestive heart failure in 162 (77.1%) and cyanosis in 137 (65.2%) cases. In spite of aggressive medical and surgical treatments, the outcomes were still unsatisfactory. The mortality rate was found to be the same in infants with or without congestive heart failure, but was significantly higher in infants with cyanosis than in those without cyanosis, after operation (28.5% vs 5.5%, p < 0.05). Conclusions. Infants suffering from critical cardiovascular disorders need urgent medical and surgical treatments in intensive care units. In spite of treatment, the outcomes are still unsatisfactory. |
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