INCIDENCE OF CONGENITAL HEART-DISEASE .1. POSTNATAL INCIDENCE
INCIDENCE OF CONGENITAL HEART-DISEASE .1. POSTNATAL INCIDENCE
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DOI：
10.1007/bf00801907
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发表时间：
1995-05-01
影响因子：
1.6
通讯作者：
HOFFMAN, JIE
中科院分区：
文献类型：
--
作者：
HOFFMAN, JIE
在西方工业化国家，先天性心脏病 (CHD) 的发病率从每 1000 名活产儿 3 至 5 例的低值到每 1000 名活产儿 12 例左右的低值不等。大多数较低的发病率数据是在训练有素的儿科心脏病专家出现之前以及在心脏手术成功重视先心病的早期和正确诊断之前获得的。采用多普勒彩色血流测量的超声心动图的出现使得诊断无症状、轻微甚至无杂音的病变成为可能。鉴于这些差异，在过去 20-30 年中，CHD 的发病率似乎并没有显着增加。不发达国家的冠心病发病率尚不清楚，但不同病变的分布与发达国家相当相似，除了主动脉瓣狭窄和主动脉缩窄的情况可能较少。
The incidence of congenital heart disease (CHD) in the Western industrialized world has varied from a low value of about 3 to 5 per 1000 live births to about 12 per 1000 live births. Most of the lower incidence figures were obtained before there were sufficiently well trained pediatric cardiologists and before the success of cardiac surgery put a premium on early and correct diagnosis of CHD. The advent of echocardiography with Doppler color flow measurements has made it possible to diagnose lesions that are asymptomatic, minor, and even without murmurs. Given these differences, there does not appear to have been a significant increase in the incidence of CHD over the last 20-30 years. The incidence of CHD in underdeveloped countries is not known, but the distribution of different lesions is fairly similar to those in developed countries except perhaps for fewer with aortic stenosis and coarctation of the aorta.