新生儿先天性心脏病筛查课件

《新生儿先天性心脏病筛查课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、NewbornScreeningforCriticalCongenitalHeartDiseaseEducationforNursesThepurposeoftheCongenitalHeartDisease(CHD)ScreeningProgramistoidentifynewbornswithCHDpriortoclinicaldeteriorationoftheaffectedinfant.Delayeddiagnosisofcriticalcongenitalheartdisease(CCHD)canresultindeathorinj

2、urytoinfants.Whydoweneedtoscreen?TheDepartmentofHealthandHumanServiceshereintheUnitedStatesmadethisCHD(alsocalledCCHD—CriticalCongenitalHeartDisease)screeningrecommendationSeptemberof2011.InJanuaryofthisyear,theAmericanAcademyofPediatricsendorsedthisrecommendation.OurOB–PEDS

3、teamhasrecentlyapprovedthepolicyandwearereadytogetstartednow!Wehadsomequestionstoansweraboutnewbornechocardiogramsbeforewecouldgetstarted!Whoendorsesthis?Congenitalheartdefects(CHDs)accountfor24%ofinfantdeathsduetobirthdefects.IntheUnitedStates,about4,800(or11.6per10,000)bab

4、iesborneveryyearhaveoneofsevencriticalcongenitalheartdefects(CCHDs,whichalsoareknowncollectivelyinsomeinstancesascriticalcongenitalheartdisease).CCHDFactSheetSevenofthemostcommonCRITICALCONGENITALHEARTDEFECTSare:HypoplasticLeftHeartPulmonaryAtresiaTetralogyofFallotTransposit

5、ionoftheGreatArteriesTricuspidAtresiaTruncusArteriosusTotalAnomalousPulmonaryvenousReturnWhatareCCHD’s?BabieswithoneoftheseCCHDsareatsignificantriskofdisabilityordeathiftheirCCHDisnotdiagnosedsoonafterbirth.ThesesevenCCHDsamongsomebabiespotentiallycanbedetectedusingpulseoxim

6、etryscreening,whichisatesttodeterminetheamountofoxygeninthebloodandpulserate.SevenCommonCCHD’sSomebabiesbornwithaheartdefectcanappearhealthyatfirstandcanbesenthomewiththeirfamiliesbeforetheirheartdefectisdetected.Ithasbeenestimatedthatatleast280infantswithanunrecognizedCCHDa

7、redischargedeachyearfromnewbornnurseriesintheUnitedStates.Thesebabiesareatriskforhavingseriouscomplicationswithinthefirstfewdaysorweeksoflifeandoftenrequireemergencycare.WhyisthisImportant?NewbornscreeningusingpulseoximetrycanidentifysomeinfantswithaCCHDbeforetheyshowsignsof

8、aCCHD.Onceidentified,babieswithaCCHDcanbeseenbycardiologistsandcanreceivesp