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中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (05) : 682 -687. doi: 10.3877/cma.j.issn.1673-5250.2013.05.029

所属专题: 文献

综述

严重先天性心血管疾病围生期一体化干预模式
周开宇1, 华益民1,*,*()   
  1. 1. 610041 成都,四川大学华西第二医院儿童心血管科,妇儿疾病与出生缺陷教育部重点实验室
  • 收稿日期:2013-03-07 修回日期:2013-08-01 出版日期:2013-10-01
  • 通信作者: 华益民

Perinatal Integrative Intervention for Critical Congenital Cardiovascular Diseases

Kai-yu ZHOU1, Yi-min HUA1()   

  1. 1. Department of Pediatric Cardiology, Key Laboratory of Obstetric&Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education in China, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan University, China
  • Received:2013-03-07 Revised:2013-08-01 Published:2013-10-01
  • Corresponding author: Yi-min HUA
  • About author:
    (Corresponding author: HUA Yi-min, Email: )
引用本文:

周开宇, 华益民. 严重先天性心血管疾病围生期一体化干预模式[J]. 中华妇幼临床医学杂志(电子版), 2013, 09(05): 682-687.

Kai-yu ZHOU, Yi-min HUA. Perinatal Integrative Intervention for Critical Congenital Cardiovascular Diseases[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2013, 09(05): 682-687.

心血管疾病治疗手段的进步及医学影像技术的发展,促进了胎儿心脏病学的迅速发展。胎儿期心血管疾病包括心血管结构异常、心律失常、心脏肿瘤、心肌疾病及各种原因导致的心力衰竭等。胎儿期严重先天性心血管疾病(CCD)的预后恶劣,亟需建立诊断、鉴别诊断、疾病转归及预后评估体系,为临床提供相关决策信息,并为患儿家庭提供产前与产后综合干预方案,改善疾病预后。胎儿期严重CCD一体化干预模式是CCD临床实践的重要发展方向,在改善危重CCD患儿远期预后及生存质量方面,显示了独特的优势。

Progresses of cardiovascular disease therapeutic methods and its medical imaging technologies have greatly promoted the rapid development of fetal cardiology. Fetal cardiovascular diseases include structural abnormality, cardiac arrhythmia, cardiac tumor, cardiomyopathy, and fetal heart dysfunction resulting from multiple reasons. Prognosis of fetal severe congenital cardiovascular disease(CCD) is poor, so clinical systems about diagnosis, differentiation, prognosis and outcome evaluation are most needed to be established, so can provide related full information for clinical decision-making, and provide prenatal and postnatal comprehensive intervention protocol for suffered families, improve the prognosis of this population group. Integrated intervention model for fetal severe cardiovascular disease is now known as an important development direction of CCD, which has shown a distinctive advantage in improving long-term prognosis and life quality of critical CCD in children.

图1 严重胎儿心律失常一体化治疗流程
Figure 1 Flow chart of integrative intervention for fetal cardiac arrhythmia
图2 胎儿心力衰竭围生期一体化干预流程
Figure 2 Flow chart of integrative intervention for fetal heart failure
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