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本人于1982～1983年在美国匹兹堡儿童医院心血管科进修二年。现将所见的美国先天性心脏病诊断和治疗现状介绍于下。美国小儿心血管科近年来明显的变化为病种改变。先天性心脏病(以下简称先心)占90%左右,其次为心肌病、心包炎、心肌炎及心律紊乱等。急性风湿热及由此引起之风湿性心脏病已属罕见。另一方面,新的病种又有发现,如皮肤粘膜淋巴结综合症(kawasaki 病)合并之冠状动脉瘤。当前美国医院已趋向以专业作为分科基础。小儿心血管内科之主要任务为搞清先天性心脏病之解剖学诊断,然后与心血管外科共同商定手术指征、最佳手术年龄及修补方案。术后监护由内外科协作进行。术后长期随访由内科负责。
I was in 1982 ~ 1983 years in the United States Department of Cardiology, Pittsburgh Children’s Hospital for two years. Now see the United States congenital heart disease diagnosis and treatment status introduced below. In recent years, the obvious change of pediatric cardiovascular families in the United States has been the change of diseases. Congenital heart disease (hereinafter referred to as congenital heart) accounted for about 90%, followed by cardiomyopathy, pericarditis, myocarditis and heart rhythm disorders. Acute rheumatic fever and the consequent rheumatic heart disease are rare. On the other hand, new diseases have been found, such as coronary artery aneurysm with mucosal lymph node syndrome (kawasaki disease). At present, the United States hospitals have tended to use specialty as a basis for sub-division. Cardiovascular medicine in children with the main task of understanding the anatomy of congenital heart disease diagnosis, and then with cardiovascular surgery agreed surgical indications, the best age of surgery and repair program. Postoperative care by surgical collaboration. Postoperative long-term follow-up by the medical department.