The innocent heart murmur in children.
The innocent heart murmur in children.
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DOI：
10.1016/s0891-5245(97)90103-6
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发表时间：
1997-09-01
期刊：
影响因子：
--
通讯作者：
Smith, K M
中科院分区：
文献类型：
--
作者：
Smith, K M
大多数儿童在从婴儿期到青春期的某个时候都有可听到的杂音。幸运的是，这些杂音大多是无辜的。这些杂音是无症状的，不需要后续护理。另一方面，病理性杂音是有症状的，需要儿科心脏病专家进行评估。推荐人不仅会让家庭感到焦虑，而且费用也很高。因此，儿科执业护士必须能够区分无辜和病理性杂音。心音听诊是评估杂音最有效的方法。由于无症状杂音是无症状的，因此需要最少的后续护理，并且诊断为此类杂音的儿童的预期结果是极好的。
Most children have an audible murmur at some point from infancy through adolescence. Fortunately most of these murmurs are innocent. These murmurs are asymptomatic and require no follow-up care. On the other hand, pathologic murmurs are symptomatic and do require assessment by a pediatric cardiologist. Referrals are not only anxiety-provoking for the family but are also costly. The pediatric nurse practitioner must therefore be able to differentiate between the innocent and pathologic murmur. Auscultation of heart sounds is the most effective method used to assess murmurs. Given that innocent murmurs are asymptomatic, they require minimal follow-up care, and the expected outcome for a child with the diagnosis of such a murmur is excellent.