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中文摘要: 目的 分析住院先天性心脏病患者的流行病学特征，为先心病防治提供科学依据。 方法 对2011—2015年兰州大学第一医院心外科收住的2 344例先天性心脏病患者病案资料进行统计和分析。 结果 2 344例先天性心脏病患者中，男女之比为1:1.49；患者以成年人和1岁以上的学龄前儿童居多。位居前三位缺陷依次为室间隔缺损、房间隔缺损和动脉导管未闭。2011—2015年间，1岁以下婴儿先天性心脏病患者比例逐年增加，其平均增长速度为28.50%；1岁及以上、7岁以下学龄前儿童先天性心脏病患者数所占比例与年份的增加呈负相关，平均下降速度为6.32%；7岁及以上至18岁以下的儿童青少年所占比例逐年减少，其平均减少速度为20.67%。结论 先天性心脏病以室间隔缺损、房间隔缺损和动脉导管未闭最为常见、多发；18岁及以上的成年患者所占比例较大，建议加强先天性心脏病的早诊早治。
Abstract:OBJECTIVE To analyze the epidemic characteristics of hospitalized patients with congenital heart disease (CHD) , and provide scientific evedience for the prevention of congenital heart disease. METHODS 2 344 cases of CHD patients was surveyed and analyzed in the First Affiliated Hospital of Lanzhou University from 2011to 2015. RESULTS In the 2 344 cases of CHD patients, the ratio of male and female was 1:1.49, the composition of adults and preschoolers over 1 year old were the majority. The first three defects were ventricular septal defect, atrial septal defect and patent ductus arteriosus. The proportion of CHD patients under 1 year old increased year by year, and the average growth rate was 28.50%. The proportion of preschoolers over 1 years old decreased year by year ,and the average descent rate was 6.32%. The proportion of CHD patients from 7 to 18 years old decreased year by year, and the average descent rate was 20.67%. CONCLUSION Atrial septal defect, ventricular septal defect and patent ductus arteriosuthe were the most common and frequent defects.The CHD patients over 18 years old accounted for a larger proportion, and suggest to strengthen the early diagnosis and treatment.
文章编号：3201801002 中图分类号：R541.1 文献标志码：
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