先天性心脏病治疗进展

Advances in managing of congenital heart disease

先天性心脏病(先心病)是最常见的先天性畸形,也是影响我国儿童健康的重大公共卫生问题.目前,我国在先心病治疗的很多方面都取得了长足进步,绝大多数先心病患儿得到治疗并长期生存,但心功能不全和肺动脉高压仍是先心病术前或术后的常见并发症.现对近年来儿童先心病合并心力衰竭及肺动脉高压的评估、治疗、管理等方面进行阐述,旨在进一步提高儿科医师对先心病常见合并症的治疗水平.

Congenital heart disease(CHD)is the most common type of congenital malformation,representing a major public health problem affecting the health of Chinese children. Great progress has been made in many aspects in the treatment of CHD in China. The vast majorities of children with CHD have been treated and they have survived for a long time,but cardiac dysfunction and pulmonary hypertension are still common complications of it before or after sur-gery. In this paper,the advances in drug treatment of CHD in children in recent years were mainly discussed,focused on the evaluation,treatment and management of CHD with heart failure and pulmonary hypertension in order to further im-prove the pediatrician's therapeutic level of managing common complications of CHD.