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  • 首頁 / 新聞 / 正文

    【易縣杏林醫院】新生兒先天性心臟病家長告知書

    mNMjWFstf

    答:先天性心臟病嚴重危害兒童健康,其并發癥包括肺炎、感染性心內膜炎、缺氧、心力衰竭、休克等,可危及孩子生命。若在新生兒時期進行先天性心臟病篩查可以早期發現、及時診斷、合理治療和干預,提高其治療效果,降低死亡率,還能避免和減少先天性心臟病并發癥及其所導致的經濟負擔,改善患兒的生命和生活質量。

    問:如何進行新生兒先天性心臟病篩查?

    答:新生兒先天性心臟病的篩查遵循知情同意的原則。篩查在新生兒早期進行。采用簡單易行、無創傷性的兩項指標對新生兒進行先天性心臟病的篩查,包括心臟聽診和經皮血氧飽和度監測。這兩項技術對新生兒無傷害。篩查結果分為陰性和陽性兩種。

    問:新生兒先天性心臟病篩查結果陽性者怎么辦?

    答:篩查結果為陽性者,應當及時至新生兒先天性心臟病篩查診斷機構接受彩色超聲心動圖檢查,檢查為陰性者,可以基本排除先天性心臟病;若彩色超聲心動圖明確診斷為先天性心臟病,患兒應及時接受進一步的評估和必要的治療。

    問:新生兒先天性心臟病篩查結果陰性者怎么辦?

    答:篩查結果為陰性者,可以暫時不考慮先天性心臟病的診斷。但由于疾病的復雜性和篩查技術的局限性,少部分孩子可能出現假陰性的情況(即患有先天性心臟病但篩查陰性),因此建議所有篩查結果陰性者,除了在出生后42天至出生時的助產醫療機構進行復查外,平時注意孩子是否存在呼吸急促、紫紺、多汗、體重不增加等情況,如果有這些情況,及時將情況反饋給醫生,接受進一步檢查。

    問:若不接受新生兒先天性心臟病篩查可能導致的后果是什么?

    答:可能會延誤先天性心臟病的診斷,增加相關并發癥發生的可能性和嚴重性,影響治療效果,甚至危及患兒生命。

    溫馨提示:對出生后6-72小時內新生兒進行先天性心臟病篩查。


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