Selection of treatment for congenital heart disease in children

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Abstract: there is no perfect method for different types of congenital heart disease, and even the same type of congenital heart disease, th

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Abstract: there is no perfect method for different types of congenital heart disease, and even the same type of congenital heart disease, the method may be different. Should be based on the patient's situation, the safety of the specific circumstances of the judge. Congenital heart disease is a threat to children, especially infants and young children, the health and life of the brutal killer". According to statistics, about 6 of every 1000 newborns suffering from congenital heart disease. According to the birth rate and incidence of CHD, estimates China's annual 15-20 million children born. Ventricular septal defect (VSD), atrial septal defect (ASD), patent ductus arteriosus (PDA) and pulmonary valve stenosis are the most common congenital malformations. Due to the lack of effective prevention of congenital heart disease, lack of specific clinical manifestations, some appearance and health of children two, even without affecting the child to eat and development, it is often not easy to cause the attention of parents, but congenital heart disease is a kind of limited disease, after a certain age is likely to miss the best treatment time, even lose the chance of treatment, bring great harm to children and their families. Therefore, early detection, early diagnosis and early treatment are the key to reduce the mortality of the disease.

When a patient is found to be suffering from congenital heart disease, the next question is how to deal with the problem of how to treat. At present, there are two kinds of treatment methods: surgery and internal medicine. For each specific patient, often appear, heart surgeons recommend that patients as soon as possible "operation", the heart of a physician that can be "interventional treatment". In this case, the patient often unable to agree on which is right, do not know who to listen to good.

In fact, any kind of treatment has its own advantages and limitations.

1 open chest repair surgery, open heart surgery under cardiopulmonary bypass. Can be used for almost any "treatment of congenital heart disease", a wide range of applications. However, the biggest drawback is the trauma, surgical scar is obvious. It is also a problem that can not be ignored in the brain injury and neurological dysfunction after cardiopulmonary bypass. In addition, after surgery to leave a permanent scar in the chest, so that children's physical and mental and personality are permanently damaged, is not conducive to the healthy growth of children;

2 cardiac catheterization interventional therapy is a branch of Cardiology developed in the past fifteen years. Through the puncture of femoral artery or vein, insert special catheter, the special occluder by peripheral vascular lesions into the desired treatment, the release of the occluder and fixed at the lesion site, to achieve the purpose of cure. The emergence of interventional therapy has changed the concept of treatment of congenital heart disease, which has become the first choice for the treatment of congenital heart disease. It has obvious advantages: no need to open the chest, leaving no scar and does not affect the appearance; less complications and high safety; short hospitalization time, generally 4-5 days of hospitalization can be discharged; the treatment effect is good. When the abnormal blood flow after occluder implantation can be completely blocked, 1 months of human endothelial cells has been covered on its surface, 3 months after the endothelial cell is the occluder embedding, no occluder detachment. Of course, interventional treatment of congenital heart disease has very strict indications, not any can be carried out in patients with congenital heart disease interventional therapy. At present, pulmonary stenosis, balloon dilatation and patent ductus arteriosus has basically replaced the previous open surgery; for interventional treatment of atrial septal defect, mainly to 36mm below diameter of secundum atrial septal defects; interventional treatment of ventricular septal defect is suitable for all kinds of stem in ventricular septal defect patients under the outside.

All in all, there is no perfect method for different types of congenital heart disease, and even the same type of congenital heart disease, the method may be different. Should be based on the patient's situation, the safety of the specific circumstances of the case, the choice of the most safe, effective and economic methods.

Keyword: children with congenital heart disease in children with congenital heart disease

 

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