Saturday, November 13, 2010

Infants with congenital heart disease

Babies born before 13 days, to identify congenital heart disease. Biede face difficulty in breathing and sometimes purple. Cry crying out. Now in the hospital but the doctors to discharge, how to do? Due to genetic, gene expression, viral infection , drugs, radiation and other factors caused the heart, great vessels that exist in the structure before birth is called congenital anomalies of cardiovascular disease, a common atrial septal defect, ventricular septal defect, patent ductus arteriosus, Faro's quadruple psychosis. What are the symptoms in children with congenital heart disease? Part of the atrial septal defect, patent ductus arteriosus in infant patients, childhood, adolescence was diagnosed, some are not discovered until later in adulthood. The ventricular septal defect in patients with heart murmur due to its large, usually in early childhood can be found. Infants with congenital heart disease most of the following symptoms: �� frequent colds, recurring bronchitis, pneumonia; �� Infant feeding problems or poor feeding, cough, eat-go there often, shortness of breath, pale, suffocation and other phenomena ; �� skin of children with persistent cyanosis, particularly in the nose, lips, finger (toe) nail bed, the performance of the most obvious of these positions; �� children walking or playing in the moment often squat; �� Children thick distal fingers and toes, color change dark; �� children tired, sweating, mouth Zhou Faqing; �� infants suffering from congenital heart disease developed significantly behind peers, and performance of thin, malnutrition, stunting, etc.; �� children chest pain, syncope. What is involved in the treatment of congenital heart disease? Interventional treatment of congenital heart disease is X-ray, ultrasound, etc. under the guidance of the needle and catheter into the heart along the blood vessels to reach the site, the imaging diagnosis, made on the quantitative and qualitative analysis of the lesion, and then special equipment used to implement blocking the lesion, expansion or embolization treatment. To congenital atrial septal defect intervention, for example, intervention is inserted from the femoral vein in children 2 to 3 mm in diameter transmitter, a self-expanding nitinol wire from the compiled double-disc structure of closure block placed in atrial septal defect, closure device as a distraction rundlet, firmly stuck in the children with atrial septum, the transient, the level of children left to right atrial shunt disappeared, atrial septal will cure the defect. After about 3 months will be like endocardial epithelial cells, like ivy along the surface of occluder began to grow well, forming a layer of smooth membrane. Interventional treatment of congenital heart disease to adapt to the current levy, and some types of atrial septal defect, ventricular septal defect, patent ductus arteriosus, pulmonary stenosis can be completely radical intervention, as children and normal operation can live, learn and work. Interventional treatment success rate has reached 95% to 100%. Interventional treatment of congenital heart disease the benefits of traditional open heart surgery of congenital heart disease need to get past customs anesthesia, thoracic surgery and postoperative recovery shut off the closed three, but will also leave a permanent scar. The contrast, the advantage of intervention is reflected out. �� trauma in the chest and back without incision in the groin only 2 to 3 mm incision (generally not scars.) Without opening the chest and pericardium, but do not cut heart, almost no damage to the heart; �� no need for general anesthesia, only local anesthesia in the groin, avoiding general anesthesia accidents, and general anesthesia on the brain, liver, kidneys and other organs side effects, especially to avoid the narcotic drugs on the mental development of children's brains; �� interventional therapy without blood transfusion as less bleeding, no blood transfusion, to avoid blood transfusion may cause infectious diseases such as hepatitis, AIDS, etc.; �� technical processes involved in short shorter surgery to block an atrial septal defect, for example, the time required for surgery is only 30 minutes, children 6 to 12 hours after getting up activities can be discharged 3 to 5 days; �� no rejection phenomenon due to the current closure devices are used in nickel-titanium shape memory alloy, non-antigenic, in children with no rejection in vivo. What are the symptoms unfit? The following atrial septal defect in children should not receive interventional treatment �� surgery while suffering from heart defects to be; �� anomalous pulmonary venous drainage; �� severe pulmonary hypertension - with bidirectional shunt; �� with atrial fibrillation (abnormal heart rhythms a). The following ventricular septal defect in children should not receive interventional treatment �� vessels too small, difficult to insert the delivery sheath; �� poor anatomic defects, after occluder placement may affect the aortic valve function. The following patent ductus arteriosus �� Children should not receive interventional treatment of several heart defects or deformities coexist; �� children weighing less than 4 kg. Heart disease may be more serious child in your family, and hospitals fear bear responsibility. Go to a large hospital as soon as possible, to identify the cause. Surgery to surgery as quickly as possible, not delay. Hospital to hospital discharge was not sure because the child is too small, may have to wait 23 months point of her children do not know where you are, then recommend you go to Jiangsu Rui Chi Zhen Hospital, Beijing Hospital, where doctors and opened the heart of the Permanent (my friend's child is, where he opened a good) or go directly to the Beijing Anzhen Hospital, I hope you go to a good hospital as soon as possible, I wish the poor child the child safe

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