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预防疾病一直是儿科的主要愿望,患先天性心脏病的儿童更迫切需要预防常见的传染病。由于左至右分流型先天性心脏病(以房、室间隔缺损,动脉导管未闭为最多见)具有肺血增多现象,因此较一般儿童易患支气管炎及肺炎。间发感染也能危害患青紫型先天性心脏病的儿童,一次普通的感染即可使儿童健康情况急剧恶化。先天性心脏病患儿罹患细菌性心内膜炎的发病率介乎1%(Keith)至22%(Abbott)之间。患细菌性心内膜炎后不但在急性期可发生危险,而且对以后的心脏手术也带来很大的危险性。以上叙述说明了先天性心脏病儿童预防感染的重要性,但如何进行预防呢?
Preventing disease has always been a major pediatric hope and children with congenital heart disease are in urgent need of prevention of common infectious diseases. Due to left-to-right shunt congenital heart disease (atrial septal defect, patent ductus arteriosus is the most common) with pulmonary hemorrhage phenomenon, so more susceptible to bronchitis and pneumonia in children in general. Intercurrent infection can also harm children suffering from purple-type congenital heart disease, a normal infection can make children’s health deteriorated dramatically. Children with congenital heart disease have a prevalence of bacterial endocarditis ranging from 1% (Keith) to 22% (Abbott). After suffering from bacterial endocarditis not only in the acute phase can be dangerous, but also for future cardiac surgery also brings great risk. The above description illustrates the importance of prevention of infection in children with congenital heart disease, but how to prevent it?