Congenital heart disease is due to cardiac vessels in fetal heart vascular dysplasia and malformations, is the most common pediatric heart d
Congenital heart disease is due to cardiac vessels in fetal heart vascular dysplasia and malformations, is the most common pediatric heart disease. At present, children with congenital heart disease treatment consists of surgery and medical treatment, treatment of the radical treatment for children with congenital heart disease surgery, medical treatment of adjuvant treatment for children with congenital heart disease, medical treatment is the main purpose in order to alleviate the symptoms in children, the basis for surgical treatment of children with congenital heart disease.
The most common clinical treatment of pediatric congenital heart disease in the surgical treatment as follows:
1 ventricular septal defect (VSD):
Easy to produce pulmonary hypertension, pulmonary infection, especially 5mm or more defects, usually in 6-24 months or so surgical treatment, had pneumonia heart failure, should strive for early surgery.
2 patent ductus arteriosus (PDA):
The ductus arteriosus is the main channel of the fetal blood through the pulmonary artery to the aorta. After birth, the pulmonary resistance is decreased, the oxygen is increased, and the contraction of the smooth muscle of the catheter leads to the physiological closure of the ductus arteriosus. This term appeared closed in 10 hours after birth, 48 hours and 96% closed. Anatomic closure within 2 year and 3 months. The vast majority closed within 6 months. If the catheter remains open at the age of 1, the operation should be closed. It is necessary to carry out the treatment of congenital heart disease in children, and the commonly used surgical procedures are interventional occlusion, arterial ligation and so on.
3 atrial septal defect (ASD):
Such a small part of children with congenital heart disease can be closed at the age of 1. If more than 5mm, and a heart enlargement, increased blood flow, it should be carried out surgery for congenital heart disease. At this time, the treatment of congenital heart disease in children is mainly in the operation of the operation. Atrial septal defect can be divided into small, medium and large defects. Children whose defect is less than 0.5cm for small, 0.5 ~ 1.0cm for medium-sized, 1.0cm above is large. Large atrial septal defect symptoms are very serious, can appear heart failure, pneumonia and other serious symptoms, should pay close attention to early treatment of congenital heart disease.
It is generally believed that children with atrial deficiency less than 5mm can not be treated with congenital heart disease. But the need for regular color Doppler ultrasound review. Atrial septal defect should be treated from 2 to 3 years old. Large atrial septal defect defect due to severe symptoms, great harm to the child, if the delay in treatment of infantile congenital heart disease can be life-threatening, so doctors should listen to the views of heart, early treatment of congenital heart disease in children, such as heart failure, pneumonia and other serious symptoms, surgery can be performed in half a year old.
4 tetralogy of Fallot (TOF):
Including four types of ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy and aortic saddle. Tetralogy of Fallot without surgery prognosis is poor, about 50% of the children may die within 3 years. Children in more than 6-12 months of surgery, such as surgery in a timely manner, such children with congenital heart disease treatment effect is better. In severe cases, the operation time should be ahead of schedule. The clinical symptoms are mild, can wait until 2-3 after radical operation, then the operation because of high success rate, low mortality rate. Most of the children can be treated with radical operation, four deformities at once.