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Dołączył: 21 Lut 2011
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 Wysłany: Sob 13:57, 05 Mar 2011 Temat postu: puma gzj mjj yase sph |
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Natural history of congenital heart disease Ⅱ (NHS-Ⅱ)
1973 of 2408 asked aortic stenosis (As), pulmonary stenosis (PS), ventricular septal defect (VSD), VSD with aortic regurgitation (AR) of the patients the first study the natural history of congenital heart disease the NHS-l, each patient in the NHSI cardiac catheterization to confirm the diagnosis and severity. Medical treatment were mostly mild, severe Zeyi surgical treatment, were moderately less, surgical treatment can be. Since NHs completed, the As, PS, VSD / AR clinical course of the study is relatively small, similar to its conclusions. l'AS 218 (1 ~ l9 years old) with medical treatment of AS patients were followed up l3 ~ 18 years after the evaluation. The initial increase in aortic pressure gradient. The 5.3 ~ 10.6kPa 58 patients with pressure gradient increased. As in the study of 142 adults. AS 10 years,[link widoczny dla zalogowanych], 12 patients developed mild to moderate from 25 years to moderate the development of at least 25 patients. And 35 patients required valve replacement therapy. Only patients with severe medical therapy,[link widoczny dla zalogowanych], the 5-year production rate of about ll% ~ 25. In another study of medical treatment, the annual mortality is the first year 2.1} l0 l0 years of the second third of 1.4% 1 1.1} The fourth is a 2. 4l fifth 4.8%. JO in the fourth year only 20% of patients no obvious symptoms. 40 patients with severe symptoms. Death rate of 1 to 10%. Surgery in childhood for the 5-year survival rate of 90 to 94.10 years for the 75 ~ 1O, 22 years was 77%. Studies even show cardiovascular dysentery l5 Um 1994 3 2PS PS to medical treatment were children l5, 5 ~ l0 years to do again after cardiac catheterization, seven of the original right ventricular pressure ≤ 6.6kPa no pressure gradient in patients , four of the original right ventricular pressure> 6.6kPa pressure gradient were significantly increased. Only a small pressure gradient caught asymptomatic, and patients with moderate or severe PS can still asymptomatic. Surgery were satisfactory outcome, if the 2l-year-old underwent surgery before normal life can be maintained, and very little loss of actors. In survivors of pulmonary regurgitation is common (24). But it is not in the future symptoms or death predictors. 3VSD showed spontaneous VSD closure often less than 1 year of age. Membranous VSD closure, according to measured rates of about 37, while the muscular VSD was 50. 20-year follow-up,[link widoczny dla zalogowanych], AR rate accounted for 1.4 ~ 6.3, AR l0 years of age in the few patients appear. VSD on the 125 patients in the l0 year follow-up study, a small VSD without surgery, long-term mortality rate was 9'A, it accounted for 71 lost the chance of operation, surgical treatment of their long-term mortality rate was 5, and the bacterial heart the meningitis incidence rate of 2.7. Of 187 patients with surgical repair of VSD were followed up for 21 years, l7 people to death, which were more polymorphic l0 PVCs, ventricular bigeminy early. It is felt that serious ventricular arrhythmias is an important risk factor for sudden death. Small VSD after repair of VSD and exercise tolerance in patients with lower than normal people, who after VSD is still the worst of their exercise capacity,[link widoczny dla zalogowanych], and its development, school achievement scores, IQ were normal. · 18l · 4VSD merger AR patients were followed up for 21 to 2 to 19 years old. Only 5 patients had severe AR. l3 cases of VSD repair and to do film forming l ~ 24 years after occurrence of AR. Children over the age of 5, surgery has a good effect. 92 cases of VSD (67 for the ridge to the next .23 subpulmonary) were followed up for 43 years. AR occurred in the average age of 5.3 years. Under the AR bug a lower incidence of VSD pulmonary artery 2.5 times to do great. VSD ridge 90 can be seen under the Office of membrane prolapse. 1O years in the film line to do angioplasty effective in alleviating the AR. Office of the effectiveness of angioplasty film l2 years at the time of 76,18 years for the 51. 5NHS-I evaluation of NHS-I for tracking medical or surgical treatment of patients with long-term effect, the original six years of research in 1983 ~ 198.9 Press again to plan, design and implementation of the long case of the original secondary research (ie NHS-I). In the NHS-I in color Doppler technology to replace the evaluation of cardiac catheterization. As surgical techniques, cardiopulmonary bypass techniques and cardiac protection technology to improve their treatment outcomes may also be changed. Office of Film balloon angioplasty on the treatment of patients with AS and Ps may change medical or surgical treatment. NHS-I offers from childhood to adulthood,[link widoczny dla zalogowanych], a large number of long-term follow-up information to help select clinical decision-making in the NHS-I realize the majority of children grow into healthy, successful adults and patients of the government in this cause medical and life support of the policy. The first three hospitals in Chengdu medicine buildings Ze Rong Liu Yunde Translation Section
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