新生儿严重先天性心脏病的筛查桑才华ppt课件.ppt

新生儿严重先天性心脏病的筛查:目前的实践与未来的展望;“在过去的11年里，自从我开始从事儿童心脏的网络信息工作（C.H.I.N.）, 当听人说起某小孩因婴儿时期漏诊先心病而带来悲剧或严重终身疾病时，其父母会悲痛得发狂，对于我来说又是煎熬的一天。” Mona Barmash, President of Children’s Heart Information Network JCCHD Meeting, Fall 2007 ;研究目的;胎儿循环;过渡期循环;新生儿与先心病;新生儿与先心病;新生儿与先心病;严重先心病的漏诊;严重先心病的漏诊;新生儿与先心病;新生儿与先心病;血氧饱和度筛查;用脉搏血氧饱和度筛查先心病;正常成人循环;过渡期循环;单纯性大动脉转位;室间隔缺损合并主动脉弓离断;左心室发育不良综合症;室间隔完整的肺动脉闭锁;脉搏血氧饱和度筛查;脉搏血氧饱和度筛查;体格检查+ 脉搏血氧饱和度;体格检查+ 脉搏血氧饱和度;我们为何无所为？;AHA/AAP 科学声明;AHA/AAP 科学声明;AHA/AAP 科学声明;欧洲所作的努力;欧洲所作的努力;在新生儿病房应用脉搏血氧饱和度 作为严重先心病筛查工具的可行性 A Holy Cross Hospital and Children’s National Medical Center IRB Approved Research Protocol ; 方案 ;先天性心脏病筛查的研究;;Screening for Critical Congenital Heart Disease in Neonates:Current Practice and Future Opportunities;Parent’s Perspective;Learning Objectives;Fetal Circulation;Transitional Circulation;Newborns with CHD;Newborns with CHD;Newborns with CHD;Failure to diagnose critical CHD;Failure to diagnose critical CHD;Newborns with CHD;Newborns with CHD;Pulse Oximetry Screening;Pulse Oximetry as Screening Method;Normal Adult Circulation;Transitional Circulation;Simple Transposition of the Great Arteries;Interrupted Aortic Arch with VSD;Hypoplastic Left Heart Syndrome;Pulmonary Atresia Intact Septum;Pulse Oximetry Screening;Pulse Oximetry Screening;Physical Exam + Pulse Oximetry;Physical Exam + Pulse Oximetry;Why have we not done anything?;AHA/AAP Scientific Statement;AHA/AAP Scientific Statement;AHA/AAP Scientific Statement;European Efforts;European Efforts;Feasibility of Implementation of Pulse Oximetry as a Screening Tool for Critical Congenital Heart Disease in the Newborn Nursery A Holy Cross Hospital and Children’s National Medical Center IRB Approved Research Protocol ; Protocol ;Congenital Heart Defect Screening Study: