深圳新生儿先心病出生监测和绿色通道建立.pdfVIP

Medical Diagnosis 医学诊断, 2018, 8(1), 1-7 Published Online March 2018 in Hans. /journal/md /10.12677/md.2018.81001 The Monitor of Newborn Congenital Heart Disease and Setting Up of Green Channel in Shenzhen * Xiangchun Meng , Boning Li, Cong Liu, Yiqun Ding, Lin Liu, Weiqun Tan Cardiology, Shenzhen Children Hospital, Shenzhen Guangdong rd th th Received: Jan. 23 , 2018; accepted: Feb. 4 , 2018; published: Feb. 11 , 2018 Abstract Objective: To study the morbidity of congenital heart disease (CHD) in Shenzhen, establish a green channel system of CHD management. Methods: Live birth babies were monitored for CHD screen- ing in 3 women and children hospitals in Shenzhen. Echocardiography was recommended if a baby had suspicious CHD clinical manifestation and/or low oxyhemoglobin saturation. Severe CHD cas- es were transferred through green channel system to terminal CHD diagnosis and treatment hos- pital for further management and intervention. Results: Continuous partal 14,221 live babies in the first half year of 2016 were monitored with 7566 male babies and 6655 female babies. CHD diagnoses were established in 138 cases (male 41.3%, female 58.7%). The morbidity of CHD was 9.7‰ (138/14221). Most CHD cases were mild (92/138). The most common CHD was ventricular septal defect (6.3‰), secondly atrial septal defect (2.3‰), the third patent ductus arteriosus (0.5‰). Heart murmurs were found only in 61 babies. That meant many CHD babies had no heart murmurs in the newborn period. So CHD diagnosis in this period didn’t rely on heart murmurs only. Surgical procedure was implemented among two severe babies in the newborn