2022年医学专题—新生儿先天性心脏病筛查(1).pptxVIP免费

NewbornScreeningforCriticalCongenitalHeartDiseaseEducationforNurses第一页，共二十五页。ThepurposeoftheCongenitalHeartDisease(CHD)ScreeningProgramistoidentifynewbornswithCHDpriortoclinicaldeteriorationoftheaffectedinfant.Delayeddiagnosisofcriticalcongenitalheartdisease(CCHD)canresultindeathorinjurytoinfants.Whydoweneedtoscreen?第二页，共二十五页。TheDepartmentofHealthandHumanServiceshereintheUnitedStatesmadethisCHD(alsocalledCCHD—CriticalCongenitalHeartDisease)screeningrecommendationSeptemberof2011.InJanuaryofthisyear,theAmericanAcademyofPediatricsendorsedthisrecommendation.OurOB–PEDSteamhasrecentlyapprovedthepolicyandwearereadytogetstartednow!Wehadsomequestionstoansweraboutnewbornechocardiogramsbeforewecouldgetstarted!Whoendorsesthis?第三页，共二十五页。Congenitalheartdefects(CHDs)accountfor24%ofinfantdeathsduetobirthdefects.IntheUnitedStates,about4,800(or11.6per10,000)babiesborneveryyearhaveoneofsevencriticalcongenitalheartdefects(CCHDs,whichalsoareknowncollectivelyinsomeinstancesascriticalcongenitalheartdisease).CCHDFactSheet第四页，共二十五页。SevenofthemostcommonCRITICALCONGENITALHEARTDEFECTSare:HypoplasticLeftHeartPulmonaryAtresiaTetralogyofFallotTranspositionoftheGreatArteriesTricuspidAtresiaTruncusArteriosusTotalAnomalousPulmonaryvenousReturnWhatareCCHD’s?第五页，共二十五页。BabieswithoneoftheseCCHDsareatsignificantriskofdisabilityordeathiftheirCCHDisnotdiagnosedsoonafterbirth.ThesesevenCCHDsamongsomebabiespotentiallycanbedetectedusingpulseoximetryscreening,whichisatesttodeterminetheamountofoxygeninthebloodandpulserate.SevenCommonCCHD’s第六页，共二十五页。Somebabiesbornwithaheartdefectcanappearhealthyatfirstandcanbesenthomewiththeirfamiliesbeforetheirheartdefectisdetected.Ithasbeenestimatedthatatleast280infantswithanunrecognizedCCHDaredischargedeachyearfromnewbornnurseriesintheUnitedStates.Thesebabiesareatriskforhavingseriouscomplicationswithinthefirstfewdaysorweeksoflifeandoftenrequireemergencycare.WhyisthisImportant?...