THE PHYSICAL AND MENTAL DEVELOPMENT OF CHILDREN WITH CONGENITAL HEART DISEASE
THE PHYSICAL AND MENTAL DEVELOPMENT OF CHILDREN WITH CONGENITAL HEART DISEASE
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DOI：
10.1136/adc.24.120.294
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发表时间：
1949-01-01
影响因子：
5.2
通讯作者：
REYNOLDS, G
中科院分区：
文献类型：
--
作者：
CAMPBELL, M;REYNOLDS, G
Benn(1947)对患有动脉导管未闭的学龄儿童的身高和体重进行了统计分析。他发现男孩和女孩都体重不足，男孩和女孩的差异可能是统计学意义上的。女孩们身高的增加似乎也有统计学上的意义。在房间隔缺损中，Roesler(1934年)强调发育不足和体型较小，但Bedford，Papp和Parkinson(1941)在成年人中没有发现。这种发育不足并不适用于所有形式的先天性心脏病。最近的几位作家提到了许多主动脉缩窄病例的良好体质(例如，Perlman，1944；Bramwell，1947；Newman，1948)。我们不知道任何一系列的测量和体重，尽管毫无疑问，许多缩窄症患者良好的体格，有时还具有运动能力。随着Blalock于1947年9月访问盖伊医院，他演示了法乐氏四联症的手术治疗，BRock(Baker，Brock，Campbell，and Suzman，1949)成功地继续了这项工作，对大量先天性心脏病患者进行了检查，以选择适合手术的患者。关于这种情况下身体发育的某些方面，现在已经看到了足够多的结论。对确切的病变做出临床诊断的困难意味着，与先天性心脏病整体和正常之间的结论相比，关于个别类型病变之间的差异的结论缺乏确定的基础。
Benn (1947) has analysed statisticaly the height and weight of school children with patent ductus arteriosus. He found both boys and girls were under weight, the differences for the boys being probably, and for the girls certainly, of statistical signif. The increased height of the girls also seemed to be of statistical sigif. In auricular septal defect, under-development and small build were emphaized by Roesler (1934) but were not found by Bedford, Papp, and Parkinson (1941) in adults.This under-development is not true of all forms of congenital heart disease. The good physique of many cases of coarctation of the aorta has been referred to by several recent writers (Perlman, 1944; Bramwell, 1947; and Newman, 1948, for example). We are unaware of any series of measurements and weights, though there can be no doubt about the good physique and sometimes athletic prowess of many patients with coarctation. Following the visit of Blalock to Guy's Hospital in September, 1947, and his demonstrations of the surgical treatment of Fallot's tetralogy, and the successful continuation of this work by Brock (Baker, Brock, Campbell, and Suzman, 1949), large numbers of patients with congenital heart disease have been examined to select those suitable for operation. Enough of these have now been seen to aIlow conclusions to be drawnregarding some aspects of physical development in this condition. Diffiulties in making a clinical diagnosis of the exact lesion mean that conclusions about differences between individual types of lesion are on a less sure foundation than those between congenital heart lesions asa whole and the normal.