Saturday, November 13, 2010

Infants with congenital heart disease

Child is six months, to do ultrasonography results showed that: the upper row interrupted septum, atrial septal interrupt continuous egg hole 3. 5MM, artery connections and normal position. CDFI: Room level of exploration and can be separated from left to right through blood, flow beam width 2. 4MM, flow rate of 390cm / s. Atrial level shows left to right shunt. Please answer! Thank congenital heart disease since it is brought from the womb, then with the child is closely related to the environment, or that are closely related with the population. If during pregnancy (mainly the first three months) treatment of a viral infection, particularly rubella, mumps, influenza, it is likely to cause fetal cardiac malformations, because the development of the heart shape in the first three post-pregnancy months; pregnant mothers taking too many sedatives, antibiotics (mainly tetracycline, oxytetracycline, chlortetracycline) and quinine and so is one of the reasons; mother suffering from \, also cause abnormal fetal heart development; elderly women and more births likely to have congenital heart disease and other deformities; exposed to radiation during pregnancy, diet, lack of folic acid, maternal mood, etc., and infants with congenital heart disease relationship; Alternatively, you can see in the same family, twin, or few children have congenital heart disease or other abnormalities, some family members to heart disease, the children have congenital heart disease is also more. Description of these conditions are congenital heart disease and heredity. The mother during pregnancy, such as to avoid these adverse factors, in particular the prevention of virus infection, as little as possible to take medicine (including traditional Chinese medicine included), which for the prevention of fetal cardiac malformations is very good. Congenital heart disease will be inherited? Congenital heart disease may not have genetic factors, but some Erque hereditary congenital heart disease, but not necessarily their parents had heart disease, but the chromosomes of the parents have problems, such as 2 1 - trisomy 18 - three body syndrome, a chromosomal location of these changes or abnormalities are genetic related. So parents have heart disease, children may not have heart disease; parents do not have heart disease, the child does not not have congenital heart disease. Congenital heart disease is hereditary disease? Source: ��Ž����� Time: 2003.09.28 normal heart is a muscle pump more oxygenated blood can be pumped into the aorta from the left ventricle, and then by the body to the systemic arterial system to meet the body's blood oxygen and nutrients carried by the demand. Since the systemic venous system at the same time will have been consumed oxygen and nutrients, and carries the tissue metabolism of carbon dioxide and waste generated after the blood into the right atrium and right ventricle, then pumped into the pulmonary artery and lung, where oxygen in the blood can be fully at a later time through the pulmonary veins, left atrium back to the left ventricle. Heart and great vessels is the main structure of the right atrium and right ventricle, pulmonary artery, pulmonary vein, left atrium and right ventricle, aorta, between the atrium and ventricle atrioventricular valve, right, said tricuspid valve, the left called mitral valve . Between the aorta and the left ventricle, pulmonary artery and right ventricle are between the three valve leaflets flap, said the semilunar valve, or aortic valve, pulmonary valve. Between left and right atrium has a thin muscular septum, between the left and right ventricular muscular septum thickness, respectively, said atrial and ventricular septal. Born with abnormal cardiac structure called congenital heart disease, such as the septum between the left and right atria are called atrial septal defect defect, right ventricle between the interventricular septum and left ventricular defect called ventricular septal defect. Throughout the valve stenosis or atresia may have, such as pulmonary stenosis, aortic valve stenosis. Ventricular dysplasia or can be absent on one side, as following heart hypoplasia, single ventricle. The cavity and the heart arteries and veins can also be connected between the abnormalities such as complete transposition of great arteries, complete or partial anomalous pulmonary venous drainage. A variety of abnormalities may also exist, such as the tetralogy's quadruple psychosis. Congenital heart disease incidence in the normal population of about 1% (0.6% -1.2%), which is not a small figure, according to China's one billion population, about 1 million people suffering from congenital heart disease. Congenital heart disease are not inherited, but some families have more children suffering from different kinds of congenital heart disease, or more cousins sick. In general, there is a first-degree relatives with congenital heart disease, the increased rate of other people sick 3 times, then the probability of two members of the prevalence rose to 9%, if three members of the sick, the other members of the risk of congenital the possibility of heart disease rose to 50%. Some chromosomal abnormalities are often accompanied by congenital heart disease, such as the all more common in the Down's syndrome (Tang Enshi syndrome, that is, trisomy 21 syndrome), 50% had congenital heart disease, the center endocardial cushion defect and ventricular septal defect, respectively, 32% and 29%, followed by 11% of atrial septal defect, tetralogy of Fallot 7.9%, patent ductus arteriosus closure was 6.7% at the end. Trisomy 18 with congenital heart disease about 90%, mainly ventricular septal defect, patent ductus arteriosus closure and so late. Recently, because of the development of molecular biology, found that more and more common congenital heart disease gene deletion, such as the CATCH syndrome, is one of 22 short arm of chromosome 11 deletion point, can be combined method quadruple Kellogg disease, ventricular septal defect, aortic dry, interrupted aortic arch and so on. Most of atrial septal defect was purely polygenic law, the first symptoms are compatriots and their children reassert the risk was 2.5% - 4.6%. A small number of successive generations of the family had seen the patients situation. Simple ventricular septal defect was polygenic, then the first fellow who suffer from disease risk was 3.3% -4.4% 3.7% -4% children. Fellow first the simple patients are ventricular septal defect with ventricular septal defect, and the incidence of other cardiac malformations higher than 10-20 times the general population, consistent lesions of 30% -60%. Patent ductus arteriosus showed multiple genetic laws, children, and then suffering the risk was 3.4% -4.3% 2.6% -3.5% compatriots. Consistency of lesions was 50%. Tetralogy of Fallot is polygenic, reassert their children risk patients was 3.0% -4.2% 2.5% -3.0% compatriots. Consistency of lesions less than 50%. Inconsistent lesions in ventricular septal defect, pulmonary stenosis and transposition of great arteries most common. Congenital heart disease (CHD) is the fetal cardiovascular abnormalities during the formation of congenital malformations, the most common heart disease in children. The incidence of congenital heart disease is about the life of births in the 7 ~ 8 �� with about 34% of untreated may die within 1 month, 50% died within 1 year of age, who died early after birth, deformity or more complex serious condition. Various types of congenital heart disease with ventricular septal defect, followed by a patent ductus arteriosus, tetralogy of Fallot and atrial septal defect. In recent years, children with congenital heart disease diagnosis and treatment have made great progress, many complex heart defects in infants, even newborns can receive timely diagnosis of and surgical treatment, the prognosis of congenital heart disease has been greatly improved. There are common symptoms of congenital heart disease, congenital heart disease can be mild, but no obvious symptoms. Purple: purple is a cyanotic congenital heart disease (such as the great vessels, tetralogy's quadruple psychosis) and outstanding performance. May persist after birth, but also three to four months after birth became clear in the lips, finger (toe) nail bed, the most obvious tip of the nose. The latent cyanotic heart disease (such as ventricular septal defect, atrial septal defect, patent ductus arteriosus) does not usually purple, but in activity, crying, breath or pneumonia appear only bruising, the late occurrence of pulmonary hypertension and right heart failure sustained bruising may occur. Heart murmur: Most congenital heart murmur could be heard, this relatively loud noise, rough, severe tremor can be accompanied by chest area. Heart murmur was more in the treatment when doctors found. Children Yousheng rational part of the normal noise. Physical difference: the heart function is poor, due to insufficient blood supply and oxygen, in children with severe feeding difficulties in infancy that is, the number of ports to stop sucking, shortness of breath, easy vomiting and profuse sweating, hi, held upright, older children do not want activities, hi squat, after the event, fatigue, paroxysmal dyspnea, severe hypoxia often breastfeeding, crying, or stool suddenly fainting, prone to heart failure. Susceptible to respiratory infections: the majority of congenital heart disease, increased pulmonary blood Youyu, usually easy to repeated suffering from respiratory infections, recurrent respiratory tract infections has further led to heart failure, both Chang Chang reinforce each other, a congenital heart disease cause of death. Poorly developed: congenital heart disease more than a developmental delay, particularly evident in those who have bruising, severe mental development may also be affected. Other symptoms: Congenital heart disease if left atrial enlargement or pulmonary artery compression of recurrent laryngeal nerve, then an early age hoarse cry, easy to shortness of breath, cough; combined with other malformations, such as congenital cataracts, cleft lip and palate and Down's syndrome, etc.; ventricular increase can be caused by precordial bulge, chest deformity; who sustained bruising may be associated with clubbing, cyanosis appeared more in 1 to 2 years after formation. If parents find that their child has these symptoms, should be early to the hospital to diagnose whether or congenital heart disease, commonly used method with X-ray examination, electrocardiogram, echocardiography, cardiac catheterization should be made when and cardiovascular angiography. Once diagnosed with congenital heart disease, cardiac surgery as soon as possible to treatment, timing of surgery by the doctors to decide, now rapid development of cardiac surgery, surgical advances, the vast majority of congenital heart disease has become fully cured of the disease. Pull your own go up. _daifumd/sections/xxwk/hzw/artdetails_25836.html

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