摘要
为取得上海地区代表性的小儿先天性心脏病(简称先心病)发病率,对杨浦区、徐汇区在1年内出生的全部活产婴儿20082名进行前瞻性调查1~3年。按统一调查内容和要求对每个小儿在1岁内筛查6次,体检不少于1次。杨浦区对本区的调查对象在2岁及3岁时再筛查1次,对可疑者作心电图、胸部X线、二维或多普勒超声心动图检查,必要时作心导管、选择性心血管造影确诊,部分病例由尸检和手术证实。检得先心病138例,发病率为6.87‰,与国外相似。非青紫型108例,占78.3%;青紫型30例,占21.7%。其中室间隔缺损(简称室缺)78例,达56.5%,占第1位,明显高于国外的有关报道。左心病变3例,占2.2%,明显低于欧美。此调查为今后先心病的防治提供确切的资料。
n a 1~3-year-prospective study,we made a survey of 20 082 live births born in Yangpu and Xuhuidistricts of Shanghai,in which 138 cases were diag-nosed as having congenital heart diseases with the inci-dence of 6.87‰,similar to the data from abroad.Ahundred and eight cases were of acyanotic type,ac-counting for 78.3%of all cases with congenital heartdiseases and 30 of cyanotic type(21.7%of all cases)。Seventy-eight cases(56.5%)had ventricular septaldefect. the incidence of which ranked at the firstplace,and its morbidity was higher than that of for-eign data. Eleven cases(8%)had atrial septal defect,with the second place of incidence and 10 cases(7.2%)with patent ductus arteriosus,with the thirdplace of incidence,which is similar to foreign data. Inour series there were 2 cases(1.5%)with aorticstenosis,1 case(0.7%)with coarctation of the aorta,and no case with hypoplastic left-heart syndrome. Themorbidities of these diseases were markedly lower thanthose in European and North American countries。
出处
《中华儿科杂志》
CAS
CSCD
北大核心
1995年第6期347-349,共3页
Chinese Journal of Pediatrics