邮件订阅 RSS

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

改善我国先天性心脏病诊疗体系的思考：外科区域化治疗

张浩,  李守军,  苏展豪

downloadPDF
文章导航 > 协和医学杂志  > 2021 >  12(3): 287-290
张浩, 李守军, 苏展豪. 改善我国先天性心脏病诊疗体系的思考：外科区域化治疗[J]. 协和医学杂志, 2021, 12(3): 287-290. doi: 10.12290/xhyxzz.20200280
引用本文: 张浩, 李守军, 苏展豪. 改善我国先天性心脏病诊疗体系的思考：外科区域化治疗[J]. 协和医学杂志, 2021, 12(3): 287-290. doi: 10.12290/xhyxzz.20200280
shu
ZHANG Hao, LI Shoujun, SU Zhanhao. Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 287-290. doi: 10.12290/xhyxzz.20200280
Citation: ZHANG Hao, LI Shoujun, SU Zhanhao. Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 287-290. doi: 10.12290/xhyxzz.20200280
shu

改善我国先天性心脏病诊疗体系的思考：外科区域化治疗

doi: 10.12290/xhyxzz.20200280
  • 1.

    上海交通大学医学院附属上海儿童医学中心心胸外科, 上海 200127

  • 2.

    国家儿童医学中心 上海市小儿先天性心脏病研究所, 上海 200127

  • 3.

    国家心血管病中心 中国医学科学院阜外医院小儿心脏外科中心, 北京 100037

基金项目: 

国家杰出青年科学基金 81525002

“十三五”国家重点研发计划 2017YFC1308100

上海市医学领军人才培养计划 2019LJ22

详细信息
    通讯作者:

    张浩  电话：021-38626868，E-mail: drzhanghao@yahoo.com

  • 中图分类号: R541;R654.2

Reflections on Improving the Diagnosis and Treatment of Congenital Heart Diseasein China: the Regionalization of Care for Congenital Heart Surgery

  • 1.

    Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China

  • 2.

    Shanghai Institute of Pediatric Congenital Heart Diseases, National Children's Medical Center, Shanghai 200127, China

  • 3.

    Pediatric Cardiac Surgery Center, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing 100037, China

Funds: 

National Science Fund for Distinguished Young Scholars 81525002

National Key R&D Program of China 2017YFC1308100

Program for Outstanding Medical Academic Leader in Shanghai 2019LJ22

More Information

    摘要
  • 摘要: 手术是先天性心脏病的主要治疗手段之一。目前，我国顶尖先天性心脏病外科中心的诊治水平已接近国际一流标准，大量患者得到了规范救治。然而，我国先天性心脏病患者的整体预后仍有待提高。本文从外科医疗资源分布和医疗可及性等角度，分析我国与西方发达国家的差距，并针对外科区域化治疗的理念，提出改善我国先天性心脏病诊疗体系的可行路径。
    Abstract: Cardiac surgery is one of the major treatments for congenital heart disease(CHD). At present, the diagnosis and treatment in top congenital heart surgical centers in China has approached the international first-class standard, and a large number of patients have received standardized treatment. However, the overall prognosis of patients with CHD in China remains to be improved. This article analyzed current gaps between China and western developed countries in terms of the distribution and accessibility of surgical resources for CHD, and proposed feasible paths to improve the diagnosis and treatment of CHD in China in the context of regionalization of health care.
    作者贡献:   张浩负责文章构思，提出修改意见; 李守军负责文章修订; 苏展豪负责查阅文献，撰写初稿。
    利益冲突:  无
    • HTML全文
    • 参考文献(20)
  • [1] 中国生物医学工程学会体外循环分会. 2019年中国心外科手术和体外循环数据白皮书[J]. 中国体外循环杂志, 2020, 18: 193-196. https://www.cnki.com.cn/Article/CJFDTOTAL-TWXH202004001.htm
    [2] 苏展豪, 李守军, 陈会文, 等. 中国和北美地区1990-2017年先天性心脏病死亡率变化趋势比较[J]. 中华心血管病杂志, 2021, 49: 269-275. doi:  10.3760/cma.j.cn112148-20200618-00496
    [3] GBD 2016 Healthcare Access and Quality Collaborators. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016[J]. Lancet, 2018, 391: 2236-2271. doi:  10.1016/S0140-6736(18)30994-2
    [4] Cui H, He C, Kand L, et al. Under-5-Years Child Mortality Due to Congenital Anomalies: A Retrospective Study in Urban and Rural China in 1996-2013[J]. Am J Prev Med, 2016, 50: 663-671. doi:  10.1016/j.amepre.2015.12.013
    [5] Zilla P, Yacoub M, Zuhlke L, et al. Global Unmet Needs in Cardiac Surgery[J]. Glob Heart, 2018, 13: 293-303. doi:  10.1016/j.gheart.2018.08.002
    [6] Liu Y, Yand LL, Xu SY, et al. Pediatrics in China: challenges and prospects[J]. World J Pediatr, 2018, 14: 1-3. doi:  10.1007/s12519-017-0117-3
    [7] Vervoort D, Meuris B, Meyns B, et al. Global cardiac surgery: access to cardiac surgical care around the world[J]. J Thorac Cardiovasc Surg, 2020, 159: 987-996. e6. doi:  10.1016/j.jtcvs.2019.04.039
    [8] American Board of Pediatrics. Pediatric Physicians Work-force Data Book, 2017-2018[M/OL ]. https://www.abp.org/sites/abp/files/pdf/pediatricphysiciansworkforcedatabook2017-2018.pdf.
    [9] Welke KF, Pasquali SK, Lin P, et al. Hospital Distribution and Patient Travel Patterns for Congenital Cardiac Surgery in the United States[J]. Ann Thorac Surg, 2019, 107: 574-581. doi:  10.1016/j.athoracsur.2018.07.047
    [10] Su ZH, Xiang L, Liu ZY, et al. The Current Landscape of Congenital Heart Surgery in North China: A Geographic and Population-based Analysis[J]. Front Pediatr, 2021. doi:  10.3389/fped.2021.555141.
    [11] Xiang L, Su Z, Liu Y, et al. Effect of family socioeconomic status on the prognosis of complex congenital heart disease in children: an observational cohort study from China[J]. Lancet Child Adolesc Health, 2018, 2: 430-439. doi:  10.1016/S2352-4642(18)30100-7
    [12] Luo Q, Zhao W, Su Z, et al. Risk Factors for Prolonged Pleural Effusion Following Total Cavopulmonary Connection Surgery: 9 Years' Experience at Fuwai Hospital[J]. Front Pediatr, 2019, 7: 456. doi:  10.3389/fped.2019.00456
    [13] Akintoye E, Miranda WR, Veldtman GR, et al. National trends in Fontan operation and in-hospital outcomes in the USA[J]. Heart(British Cardiac Society), 2019, 105: 708-714. http://heart.bmj.com/content/105/9/708.full
    [14] Morris SA, Ethen MK, Penny DJ, et al. Prenatal diagnosis, birth location, surgical center, and neonatal mortality in infants with hypoplastic left heart syndrome[J]. Circulation, 2014, 129: 285-292. doi:  10.1161/CIRCULATIONAHA.113.003711
    [15] Kaltman JR, Burns KM, Pearson GD, et al. Disparities in Congenital Heart Disease Mortality Based on Proximity to a Specialized Pediatric Cardiac Center[J]. Circulation, 2020, 141: 1034-1036. doi:  10.1161/CIRCULATIONAHA.119.043392
    [16] Xiang L, Su Z, Liu Y, et al. Impact of Family Socioe-conomic Status on Health-Related Quality of Life in Children With Critical Congenital Heart Disease[J]. J Am Heart Assoc, 2019, 8: e010616.
    [17] Welke KF, O'Brien SM, Peterson ED, et al. The complex relationship between pediatric cardiac surgical case volumes and mortality rates in a national clinical database[J]. J Thorac Cardiovasc Surg, 2009, 137: 1133-1140. doi:  10.1016/j.jtcvs.2008.12.012
    [18] Kansy YA, Ebels T, Schreiber C, et al. Association of center volume with outcomes: analysis of verified data of European Association for Cardio-Thoracic Surgery Congenital Database[J]. Ann Thorac Surg, 2014, 98: 2159-2164. doi:  10.1016/j.athoracsur.2014.07.065
    [19] Husain SA, Pasquali SK, Jacobs JP, et al. Congenital heart operations performed in the first year of life: does geographic variation exist?[J]. Ann Thorac Surg, 2014, 98: 912-918. doi:  10.1016/j.athoracsur.2014.04.127
    [20] Backer CL, Pasquali SK, Dearani JA. Improving National Outcomes in Congenital Heart Surgery: The Time Has Come for Regionalization of Care[J]. Circulation, 2020, 141: 943-945. doi:  10.1161/CIRCULATIONAHA.119.045542
    • 相关文章
    • 施引文献
  • 资源附件(0)
  • 加载中
WeChat 点击查看大图
计量
  • 文章访问数:  492
  • HTML全文浏览量:  90
  • PDF下载量:  72
  • 被引次数: 0
出版历程
  • 收稿日期:  2020-11-27
  • 录用日期:  2020-03-29
  • 刊出日期:  2021-05-30

目录

    /

    返回文章
    返回
    友情链接: 国家卫生健康委员会 北京协和医院 中国医学科学院 学术不端检测系统 国际知识资源总库 中国知网 术语在线 中国全科医学
    地址：北京市东城区帅府园1号 北京协和医院老楼7号楼
    3层302室 《协和医学杂志》编辑部
    电话：010-69154261/4262
    E - mail：medj@pumch.cn
    mjpumch@126.com
    期刊网站版权所有：《协和医学杂志》编辑部
    京ICP备 11002662

    本系统由 北京仁和汇智信息技术有限公司 开发    百度统计

    x 关闭 永久关闭

    【温馨提醒】近日，《协和医学杂志》编辑部接到作者反映，有多名不法人员冒充期刊编辑发送见刊通知，鼓动作者添加微信，从而骗取版面费的行为。特提醒您，本刊与作者联系的方式均为邮件通知或电话，稿件进度通知邮箱为：mjpumch@126.com，编辑部电话为：010-69154261，请提高警惕，谨防上当受骗！如有任何疑问，请致电编辑部核实。谢谢！