Pediatric cardiac surgery in developing countries
Pediatric cardiac surgery in developing countries
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DOI：
10.1007/s00246-006-1452-7
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发表时间：
2007-04-01
影响因子：
1.6
通讯作者：
Rao, Suresh G.
中科院分区：
文献类型：
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作者：
Rao, Suresh G.
儿童心脏手术在发展中国家是一项重大挑战。在应对严重的预算限制、寻找维持项目的资金以及在训练有素的医疗、护理和其他辅助医疗人员不断更替的背景下保持质量的同时，采用不断发展的方法来满足大量先天性心脏缺陷儿童的手术需求是一项挑战。选择最好的程序，以较低的成本实现最大程度的缓解，并在可能的情况下，优先考虑一阶段的纠正程序，尽管风险较高，需要修改实践。尽管近年来基础设施和手术技术有所改善，但在一些发展中国家，与发达国家相比，物流、负担能力、延迟就诊、营养问题、人员配备和不利的经济状况继续对总体结果产生负面影响。
Pediatric cardiac surgery in developing countries is a major challenge. It is a challenge to employ evolving methods to cater to the surgical needs of a very large number of children with congenital heart defects while dealing with severe budgetary constraints, finding funding to maintain the program, and maintaining quality in the backdrop of constant turnover of trained medical, nursing, and other paramedical personnel. Choosing the best procedure to achieve maximum palliation at lower cost and, when possible, giving priority for one-stage corrective procedures, albeit at a higher risk, calls for practice modifications. Despite improved infrastructure and surgical skills in recent years, in some developing countries, logistics, affordability, late presentation, nutritional issues, staffing, and unfavorable economics continue to negatively influence the overall results compared to those of developed nations.