中国心外科发展现状的幻灯（朱晓东英语）课件.pptVIP

Cardiac Surgery in ChinaCurrent status and Some Characteristics Zhu Xiaodong Fuwai Cardiovascular Institute 2004.10 CHINA:  A developing country with a huge  population of 1.3 billions* Even the growing pace of the population has gradually slowed down Increasing rate: still as high as 0.7% per year Out of 16.6millions of newborns 100,000 babies with CHD (6.7 ‰) are added each year * Report of the Ministry of Public Health. 2001 Potential Patients who may need cardiac surgery: Myocardial infarction 2.967 millions* Rheumatic valvular disease 2.235 millions Congenital heart disease 1.80-1.95 millions （6.7‰ in newborns) Idiopathic cardiomyopathy 1.60 millions** Others Total 8millions *Gu Dongfeng. Prevalence of cardiovascular diseases in China 42nd conference on cardiovascular disease epidemiology and prevention 2002.04 Hawaii **Yubao Zou et al. Am J Medicine 2004,116:14-8 Distribution of different kinds of heart operations ?In general : Number one:Congenital (60%-65%) Second: Valve surgery (20%-25%); Third:Coronary surgery (10%-20%） *CABG 50% in few units ?Fuwai Hospital： (1977~2003) 25,279 cases CABG has graduallysurpassed valve operations Limited Medical resources The capacity of cardiac surgery There are about 900 cardiothoracic units (including about 500 heart units) Nearly 80,000 heart operations in 2003 13 big heart centers (1000 open hearts/year) (阜外, 安贞, 新华, 上海中山, 长海, 武汉协和, 亚心, 霍英东, 湘雅, 沈军区, 华西, 四医大, 三医大…) Our mission: Millions of heart operations /y Another hundred of heart centers as big as Fu-wai heart hospital or as good as THI should be built up in China. A whole network of service and a reliable insurance system nationwide also should be established. 1. Increasing number of baby-patients 2. More complicated anomalies About 25％ are complicated cases Overall operative mortality