先天性心脏病双语课件.pptVIP

Chapter7-1 Nursing Care of the Child with Cardiovascular DisordersHuiQin-Yu Dialogue Mother: My family doctor said there was cardiac murmur at the precardiac region of my little baby. She suggested that I should come here for a thorough check. Doctor: How old is your baby? Mother: About 10 months old. Doctor: Have you noticed anything wrong since he was born? Mother: He got slight cold more easily than my first son and he grows a bit slowly. Doctor: How many children do you have and how about their health conditions? Mother: I have two babies, including this one. My first is 8 years old and he is just very healthy. Doctor: Then how old are you? Mother: about 36 years old. Doctor: How long ago did the family doctor find the cardiac murmur? Mother: Two weeks ago. I should have come here earlier, but I was busy with work. Doctor: Ok, I see. Now let me check him. Please lay your baby on the bed and fix his limbs. You must keep his hands off my auscultator. Doctor: I finished and you can release your hold. I found a holosystolic murmur in the area between the third and fourth ribs just on the left sternal border. I think it’s ventricular septal defect. Did your family doctor say so ? Mother: Yes, that’s what she suspected. So it’s true that my son has a congenital heart disease? Doctor: According to my judgment, it’s true. Now I am doing an ultrasound to get some details of his disease. Please hold his limbs again. Mother: Is it serious? Doctor: There is a 6mm. Defect in the interventricular septum and the left atrium, right atrium, right ventricle are bigger than normal. There is a shunt from the left ventricle to the right one. Fortunately, the pulmonary artery pressure is not high. Mother: what does that mean? Doctor: The ultrasound said that your baby’s disease is not very serious. Don’t worry so much. Mother: Is it treatable? Doctor: Surely it’s curable. We can give him a neoplasty and then he will be all right just like any other healthy babies. We can talk a