最新新生儿先天性心脏病筛查 课件课件PPT.ppt

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1、新生儿先天性心脏病筛查课件ThepurposeoftheCongenitalHeartDisease(CHD)ScreeningProgramistoidentifynewbornswithCHDpriortoclinicaldeteriorationoftheaffectedinfant.Delayeddiagnosisofcriticalcongenitalheartdisease(CCHD)canresultindeathorinjurytoinfants.Whydoweneedtoscreen?TheDepartmentofHealthandHuma

2、nServiceshereintheUnitedStatesmadethisCHD(alsocalledCCHD—CriticalCongenitalHeartDisease)screeningrecommendationSeptemberof2011.InJanuaryofthisyear,theAmericanAcademyofPediatricsendorsedthisrecommendation.OurOB–PEDSteamhasrecentlyapprovedthepolicyandwearereadytogetstartednow!Wehadso

3、mequestionstoansweraboutnewbornechocardiogramsbeforewecouldgetstarted!Whoendorsesthis?Somebabiesbornwithaheartdefectcanappearhealthyatfirstandcanbesenthomewiththeirfamiliesbeforetheirheartdefectisdetected.Ithasbeenestimatedthatatleast280infantswithanunrecognizedCCHDaredischargedeac

4、hyearfromnewbornnurseriesintheUnitedStates.Thesebabiesareatriskforhavingseriouscomplicationswithinthefirstfewdaysorweeksoflifeandoftenrequireemergencycare.WhyisthisImportant?NewbornscreeningusingpulseoximetrycanidentifysomeinfantswithaCCHDbeforetheyshowsignsofaCCHD.Onceidentified,b

5、abieswithaCCHDcanbeseenbycardiologistsandcanreceivespecializedcareandtreatmentthatcouldpreventdeathordisabilityearlyinlife.Treatmentcanincludemedicationsandsurgery.WhyPulseOximetry?Pulseoximetryisasimplebedsidetesttodeterminetheamountofoxygeninababy’sbloodandthebaby’spulserate.Lowl

6、evelsofoxygeninthebloodcanbeasignofaCCHD.Screeningisdonewhenababyis24to48hoursofage,oraslateaspossibleifthebabyistobedischargedfromthehospitalbeforeheorsheis24hoursofage.Pulseoximetryscreeningdoesnotreplaceacompletehistoryandphysicalexamination.Whenarebabiesscreened?Makethenewborni

7、swarmandquietKnowhowtocorrectlyusetheequipmentandwheretogetsupplies.Makesureyouaregettingaccuratereadingsbyassuringagoodwaveformandheartrateonthemonitor.ALWAYSusetherighthandandrightfootPractice!HowcanIhavethemostsuccess?RightHandandRightFootWheredoperformthetestonthebaby?Anursesho

8、uldperformthetestafter24ho