中国心外科发展现状的幻灯

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1、CardiacSurgeryinChinaCurrentstatusandSomeCharacteristicsZhuXiaodongFuwaiCardiovascularInstitute2004.101CHINA:Adevelopingcountrywithahugepopulationof1.3billions*EventhegrowingpaceofthepopulationhasgraduallysloweddownIncreasingrate:stillashighas0.7%perye

2、arOutof16.6millionsofnewborns>100,000babieswithCHD(6.7‰)areaddedeachyear*ReportoftheMinistryofPublicHealth.20012PotentialPatientswhomayneedcardiacsurgery:Myocardialinfarction2.967millions*Rheumaticvalvulardisease2.235millionsCongenitalheartdisease1.80-1

3、.95millions（6.7‰innewborns)Idiopathiccardiomyopathy1.60millions**OthersTotal>8millions*GuDongfeng.PrevalenceofcardiovasculardiseasesinChina42ndconferenceoncardiovasculardiseaseepidemiologyandprevention2002.04Hawaii**YubaoZouetal.AmJMedicine2004,116:14-8

4、3DistributionofdifferentkindsofheartoperationsIngeneral:Numberone:Congenital(60%-65%)Second:Valvesurgery(20%-25%);Third:Coronarysurgery(10%-20%）*CABG>50%infewunitsFuwaiHospital：(1977~2003)25,279casesCongenitalCABGValves4CABGhasgraduallysurpassedvalve

5、operationsFu-WaiHospital5LimitedMedicalresourcesThecapacityofcardiacsurgeryThereareabout900cardiothoracicunits(includingabout500heartunits)Nearly80,000heartoperationsin200313bigheartcenters(>1000openhearts/year)(阜外,安贞,新华,上海中山,长海,武汉协和,亚心,霍英东,湘雅,沈军区,华西,四医

6、大,三医大…)6Ourmission:Millionsofheartoperations/yAnotherhundredofheartcentersasbigasFu-waihearthospitalorasgoodasTHIshouldbebuiltupinChina.Awholenetworkofserviceandareliableinsurancesystemnationwidealsoshouldbeestablished.71.Increasingnumberofbaby-patients

7、苏肇伉：心血管病国际论坛2004.09北京characteristic349operationsofcomplicatedcongenitalheartdiseases.57％under6monthsofage徐志伟)*：*晚期心脏病外科治疗研讨会，上海2004SurgeryofCongenitalHeartDisease82.MorecomplicatedanomaliesAbout25％arecomplicatedcasesOveralloperativemortality------10%to

8、15％Unlikewesterncountries,mostcyanoticcasesareTetralogyofFallot(mortality1.1%-5%)Becauseofsmallpercentageofneonates.Inaseriesof115neonatesofcongenitalheartdiseasenearly50%ofthemwereTGA**苏肇伉：心血管病国际论坛2004.09北京SurgeryofCongenitalHe