Wednesday, November 7, 2007

Congenital heart disease prevention and treatment

Since it is not clear the causes of congenital heart disease, there is no exact methods of prevention. Some of the uterine infection can be caused by congenital malformations and more with congenital heart diseases, such as rubella virus syndrome. Thus the prevention of pregnancy in particular infection during early pregnancy is an important measure. Mother alcoholism, may be suffering from alcoholism syndrome baby, accompanied a ventricular septal defect, patent ductus arteriosus, atrial septal defect, tetralogy of etc.. Pregnancy taking certain drugs such as amphetamine, progesterone category, Estrogens, anticonvulsant drugs, can also lead to heart malformations. So should attach importance to the mother's health during pregnancy. Fetal echocardiography has Ahn Jung hospital for a long time, if their parents suffered from congenital heart disease, or had children suffering from congenital heart disease, again advocated doing pregnancy fetal ultrasound, echocardiography, the benefit of early detection of fetal suffering from congenital heart disease, if for complex congenital heart or refractory Pathological may consider early induction of labor. As the world and our country continuously improve the level of medical care, congenital heart disease surgery and non-surgical treatment is encouraging. It should be said that simple congenital heart disease, such as ventricular septal defect (20% -25%), atrial septal defect (5% -10%), I. artery disease, preoperative left ventricular relatively small, after surgery to adapt to the more blood flow, and patients need to have lung an adaptation process, as a preoperative pulmonary blood flow increased, and so on, the longer time required postoperative cardiac, diuretic, vasodilative drug treatment, about 3-6 months. If pulmonary vascular hypoplasia or deformities dissatisfied with the medication may be a long time, even years. Some of the large number of left-to-right shunt of congenital heart diseases, such as ventricular septal defect, patent ductus arteriosus closure at the end, endocardial cushion defect repeatedly Preoperative pulmonary hypertension or heart failure, and the need to control drugs, need 3-6 months after treatment, in order to maintain the original poor cardiac function and withstand a traumatic cardiac surgery dirty normal function. But less serious congenital heart disease, such as atrial septal defect, a small patent ductus arteriosus, a small ventricular septal defect, not after conventional drug treatment. Congenital heart disease to continue to follow-up after long? Our principle is after March to the first six months follow-up, depending on patient condition at discharge determined at discharge cardiac dysfunction is required in advance referral; first reexamination, echocardiography showed deformities satisfied with good cardiac function, Even cardiac X-ray and ECG still change, but also 1 - 2 years after the follow-up, follow-up after gradually extend the time until the electrocardiogram, cardiac ultrasound and X-ray examination can stop the normal follow-up; certain congenital heart disease residual deformity after a second operation to the possibility of the EU Chau complex congenital heart disease reoperation rate of about 20 percent. My surgery for complex congenital heart disease in less Therefore, the question is not obvious, but after ventricular septal defect or patent ductus arteriosus ligation, the remnants of the left-to-right shunt, also required secondary surgery treatment.

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