131例先天性心脏病延迟诊断的临床分析

Clinical Analysis of 131 Patients With Congenital Heart Disease

目的通过对先天性心脏病（congenital heart disease,CHD）造成延迟诊断的诸多因素进行分析,为搞好CHD的三级预防提供一个思路。方法对2006年1月-2015年12月在青岛市城阳区第二人民医院就诊的〉1月婴幼儿通过心脏听诊,发现心脏杂音者行影像学检查,确诊为CHD共131例,对这131例CHD患儿从性别、年龄、户籍、有无其他症状等方面统计造成CHD延迟诊断的各种因素。结果 〈6月小婴儿为诊断病例多数,占60.3%;无临床症状仅听诊到心脏杂音者,占96.2%;各种CHD患儿中,室间隔缺损（VSD）最高,占58.8%。结论在门诊就诊患儿中,加强重点人群的心脏听诊筛查,对CHD的三级预防具有补充纠错的作用。

Objective To provide the way for the tertiary prevention of the CHD by analyzing the causes of delayed diagnoses of CHD. Methods By the heart auscultation of the children from Jan.2006 to Dec.2015 and the imageological examination for those who have the cardiac souffle,we make the statistic of the 131 causes by gathering the information of these patients＇ gender,age,census register if they had other symptoms. Results Most of the children patients were younger than 6 months,which were 60.3% of all the children patients.The percentage of children patients who had cardiac souffle but had no clinical symptoms was 96.2%.The percentage of patients who had VSD was the largest one,which was 58.8%. Conclusion To emphasize the importance of the focus groups,auscultation can improve the tertiary prevention of CHD.