马来西亚的CHD手术为低收入和中等收入国家制定了标准
Chee Chin Hew1, Sivakumar Sivalingam1
1National Heart Institute Kuala Lumpur, Kuala Lumpur, Malaysia.
概括
自1992年以来,马来西亚的先天性心脏缺陷手术已经增长,但儿科和先天性心脏中心 (PCHC) 仍然面临提供护理的挑战. 虽然PCHC执行了大多数手术,但资源限制导致了获得差异.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 公共卫生 公共卫生
背景情况:
- 马来西亚的先天性心脏病 (CHD) 手术始于1992年,资源有限.
- 儿科和先天性心脏中心 (PCHC) 于2012年成立,是唯一的心脏病手术提供者.
- 卫生部和大学医院的手术能力正在增加.
研究的目的:
- 检查儿科和先天性心脏中心 (PCHC) 面临的挑战.
- 分析在资源有限的环境中提供儿科心脏外科手术的问题.
- 了解马来西亚获得心血管疾病护理的差异.
主要方法:
- 对外科手术病例和资金的回顾分析.
- 审查基础设施和人力资源的限制.
- 准入障碍的定性评估.
主要成果:
- 每年PCHC进行800-900次开放心脏手术,超过马来西亚总数的一半.
- 大多数PCHC患者是政府资助的.
- 尽管增加了产能,但重大挑战导致了获取差异.
结论:
- 在马来西亚,PCHC仍然是儿科心脏手术的核心.
- 资源的局限性和持续的挑战阻碍了公平获得CHD护理的机会.
- 解决这些问题对于改善心脏缺陷儿童的结果至关重要.
相关概念视频
Cardiomyopathy V: Interprofessional Care
42
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
42
Cardiomyopathy VII: Pre and Post Operative Nursing Management
35
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
35
Cardiomyopathy III: Hypertrophic Cardiomyopathy
69
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
69
Mitral Stenosis III: Medical Management
31
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
31


