What are the skills for pediatric congenital heart disease, and the choice of timing and method of t

Hello, in view of the child's examination results, it is recommended to visit a specialized hospital for a review of cardiac color ultrasound, etc., to understand the recent condition, guidance**, the child's current examination has no clear possibility of congenital heart disease for the time being. Children with congenital heart disease have poor physical fitness, poor nutritional status, and poor defense ability, so they are prone to infection and fever. Strengthen nursing, patient feeding, proper cold and warmth, and try to avoid infection, so as to strive for the best opportunity and improve the quality of life.

At present, the technology of congenital heart disease is mature, and the congenital heart disease with a clear diagnosis, as long as the early diagnosis is done and timely, the vast majority of congenital heart disease can be completely operated on, and the postoperative life and work can be the same as normal people. Hope it helps, and I wish you good health. ydw

The simple room shortage is not too simple, but your report is incomplete, does not explain how big the gap is, or the level and examination described by the hospital are not enough, it is recommended that you find a better hospital to diagnose it first.

The child's condition can be rechecked in the hospital regularly, and after the age of 1, the operation time will be determined, and the nutrition and cold prevention should be paid attention to.

Introduction: Congenital heart disease is the most common cardiovascular disease in children, according to the statistics of China's health department, most of the 4 million patients with congenital heart disease in China are children, and 15.2 million children with congenital heart disease are born every year, and the incidence rate is on the rise. The vast majority of congenital heart diseases can be completely **, with the improvement of medical technology level and the development of intervention technology, more and more congenital heart diseases can be intervened**.

So, what are the skills for choosing the timing and method of congenital heart disease in children?

The best operating period for congenital heart disease is divided into left and right types: VSD2 3 years old, PDA 3 months old 5 years old, ASD 3 5 years old, partial atrioventricular septal defect over 5 years old, complete atrioventricular septal defect 2 months 3 months, recurrent congestive heart failure with more than 2 malformations, 15% 21% of the first heart disease with PH ductus opening and closing, twice as high as that of men in women, and the incidence of preterm infants increased significantly. All PDAs weighing 23 kg and having an internal diameter of 1 15 mm can be intervened**.

In particular, the calcification of the blood vessel wall is a complication that occurs in adults over 30 years of age, and thoracotomy is prone to complications such as bleeding, residual leakage, and aneurysm, so intervention should be a priority method.

The incidence of complete aortic rotation (TGA) is . , the prevalence rate of men and women is 2 4:1, if not **, the mortality rate is as high as one month, and the mortality rate within one year is 89%. With the combination of TGA, the deformity rate varies depending on the period of surgery.

1) Patients with intact atrial septums should undergo specialist surgery two weeks after birth**.

2) Children with VSD should undergo surgery within 3 months (within 2 meters or 1 meter) of birth**.

3) Along with VSD, if the left ventricular outflow tract is stenosis (PS, dorv, total pulmonary venous ectopic drainage is not present), surgery should be performed within 3 to 4 months (including 2 m or 1 m**).

4) People with PAH combined with main lung geodetic (MACAS) should undergo surgery at birth at 4 6 m**.

Some congenital heart diseases, if they can be detected occasionally at birth, are completely fine**. For some congenital heart diseases, if parents can observe their children carefully, they can detect the signs of congenital heart disease early. These seedlings are a sign of congenital heart disease.

If the child's lips are often purple, and asthma, colds, and heart failure are frequent after activity, parents can put their hands on the child's front part of the heart, and the front heart area is like a small cotton seed, and the "stone" flutter will not stop. After parents find the signs of congenital heart disease in their children, they should immediately take their children to the hospital to see a doctor and accept it in time.

It is necessary to carefully observe the child's condition, combine the specific course of the child's illness, and then make the most correct choice according to the relevant examinations, and in the choice of the best way, you must follow the doctor's advice and choose the most suitable way in combination with your actual situation.

It is necessary to observe the specific situation of the child, learn relevant knowledge, grasp the specific symptoms of the child, and conduct a formal physical examination of the child, and also combine the doctor's instructions to choose the right time and appropriate method.

To choose the best time, but also to check the condition of the body, but also to pay attention to the way of surgery, to develop a plan, but also to carry out all aspects of measurement.

Neonatal heart disease can be more likely, but it also depends on the type of heart disease and the specific physical condition of the newborn.

It is one of the most common types of congenital heart disease. Small and medium-sized defects, often without significant symptoms, and large and medium-sized defects, can be seen to be stunted, tired, thin, pale, and susceptible to respiratory tract infections. For ventricular septal defects, some children are likely to close spontaneously before the age of 10, so if there are no symptoms, surgery** can be performed after the age of 10.

The first thing that should be established is that having a murmur does not necessarily mean that a newborn baby has a congenital disease, and from another point of view, the absence of a murmur does not mean that there is no doubt that there is no heart disease. However, because many patients with congenital heart disease have undue changes in the structure of the heart, resulting in changes in the blood, cardiovascular murmurs may be very common. Therefore, if the newborn baby can hear the cardiovascular murmur after birth, but the child's general condition is good, there is no black green can wait for the child to be 2-3 months old before checking, and the murmur disappears and does not need to be examined again.

It is necessary to minimize the baby's crying and meet its physiological requirements, such as breastfeeding on time and changing the baby's diaper immediately. Exclusively breastfed children do not have to plug their chests into the baby's mouth and nose to continue sucking, which will make him hold his breath and is very prone to black bruises, so intermittent feeding should be carried out to allow the child to rest. Formula-fed is the same.

The indoor air quality should be fresh and the temperature should be suitable. Children with persistent bruising should be prevented from excessive room temperature and humidity, and must always ensure that they drink enough water each day to prevent the formation of blood clots. Eat a nutritious diet that is easy to digest.

You don't have to eat too much in one meal, you need to eat small and frequent meals. Adjust the structure of ingredients appropriately to avoid severe constipation.

It is also one of the most common types of congenital heart disease. Small and medium-sized defects, often without significant symptoms, and large and medium-sized defects, can be seen to be stunted, tired, thin, pale, and susceptible to respiratory tract infections. For ventricular septal defects, some children are likely to close spontaneously before the age of 10, so if there are no symptoms, surgery** can be performed after the age of 10.

Patent ductus arteriosus. It is a more commonly used type of congenital heart disease in children, and it is best to carry out surgery at the age of 4-15 years after examination and diagnosis, because there is a high probability of spontaneous recovery before the age of 4.

Girls outnumber boys, and clinical symptoms vary according to the size of the defect. Generally, it can be seen that developmental delay, paleness, fatigue, and shortness of breath are prone to occur after theme activities. If there are no complications, surgery should be performed at the age of 10 to 15 years.

Tetralogy of Fallot. This type is more severe, and cyanosis of the lips, fingers, and toes, wheezing, poor breathing, and developmental delay often occur in the baby stage. Generally, it is ideal to carry out surgery at the age of 5-15 years, but the pass rate of surgery is not high.

This should be determined according to the specific condition of heart disease, if it is not too serious, it is okay, you must go to the hospital for examination, and cooperate with the doctor**.

Heart disease in newborns is not allowed because the heart of newborns is very fragile and cannot be operated on, and once the operation is performed, it may cause neonatal death.

Hello, the child's illness is not serious, to be precise, not congenital heart disease. Here's the detailed analysis:

Congenital heart disease: Atrial septal defect is one of the more common types of congenital heart disease. According to the clinical data of Beijing and Shanghai, atrial septal defects accounted for the sum in various congenital heart disease centers. Congenital heart disease is more common in women, with female-to-male ratios ranging from 2 1 to 4 1.

Congenital heart disease atrial septal defect is caused by hypoplasia of the tissues that make up the atrial septum during the embryonic stage.

A subset of smaller cases of atrial septal defects with 2nd hole congenital heart disease may close spontaneously within 1 year of birth and are unlikely to close spontaneously 2 years after birth. Surgery should be considered for patients with simple type 2nd port congenital heart disease atrial septal defect or 2nd port congenital heart disease atrial septal defect with partial right pulmonary venous ectopic reflux and the ratio of pulmonary circulation to systemic blood flow exceeding it**. The most appropriate age for surgery is 4 to 5 years of age, and early surgery** prevents increased pulmonary circulation resistance and the development of right heart failure.

Patients with congestive heart failure in infancy and early childhood who have not been controlled by medical surgery should undergo surgery as soon as possible.

In the case of this child, patent foramen ovale 3mm, there is a possibility of natural closure, and there is no need for any ** at this time. You don't need to pay attention to anything, you don't need to eat, and let your child gain as much weight as possible.

It is recommended to have a cardiac ultrasound once a year. If patent foramen ovale tends to enlarge significantly beyond 5 mm, surgery (atrial septal defect repair) is recommended at four years of age**. Because after the age of four, the child has a memory of things.

The success rate of atrial septal defect repair is basically 100%.

If you have surgery, it is recommended to go to a hospital that performs a small cosmetic incision in the right armpit for atrial septal defect repair.

Diagram of a small cosmetic incision in the right armpit.

In developed countries, interventional closure is limited to muscular ventricular septal defects and patent ductus arteriosus. In the past, developed countries also did intervention to seal atrial septal defects, but due to many problems, this method was eliminated.

I hope you find the above reply helpful.

My baby also has an atrial septal defect with congenital heart disease, and he has just undergone surgery for more than 2 months! Yan is not serious, I am not a doctor, I dare not say, but it is better to consult the doctors of several hospitals. **Solution: I know that there are 2 technologies that are more mature:

Intervention and thoracotomy. At the beginning, I wanted to do intervention for the baby, but there were two holes, not very suitable, so I did a thoracotomy, and the doctor said that there were 4-5 holes in the atrium of the heart, and I was very glad to have done a thoracotomy, or I could plug 2 holes if I didn't do the intervention, and I still had to open the chest when the other holes grew up, because I had to use several instruments to plug all the holes, which was not allowed, and I could only open the chest again**. When I did the B ultrasound examination, I still found an acquaintance who only found 2 holes, and the doctor said that there were particularly small holes that the B ultrasound might not be able to detect, and I couldn't see it until I grew up.

However, the biggest advantage of intervention ** is that the child is less guilty, the chest is too sinful, I can't stand it when I look at the baby in the hospital, the knife is still very long, and I have to be close to a woman's hand to lengthen it, the cost is about 20,005, and the medical report for urban residents is about 8,000, and the hospitalization is about half a month, just take my experience to tell you about it and make a comparison! I wish the baby a speedy **!