Current status and challenges in prenatal and neonatal screening, diagnosis, and management of congenital heart disease in China

被引：52

作者：

Zhang, Yingying ^{[1
,3
,4
,5
]}

Wang, Jingyi ^{[1
,3
,4
]}

Zhao, Jianxin ^{[6
]}

Huang, Guoying ^{[9
]}

Liu, Kaibo ^{[2
,10
]}

Pan, Wei ^{[11
]}

Sun, Luming ^{[12
,13
]}

Li, Jun ^{[14
]}

Xu, Wenli ^{[6
]}

He, Chunhua ^{[6
]}

Zhang, Yunting ^{[15
]}

Li, Shoujun ^{[19
,20
]}

Zhang, Hao ^{[16
,17
,18
]}

Zhu, Jun ^{[6
,7
,8
]}

He, Yihua ^{[1
,3
,4
]}

机构：

[1] Capital Med Univ, Beijing Anzhen Hosp, Maternal Fetal Med Ctr Fetal Heart Dis, Beijing, Peoples R China

[2] Capital Med Univ, Beijing Obstet & Gynecol Hosp, Dept Perinatal Hlth, Beijing, Peoples R China

[3] Beijing Key Lab Maternal Fetal Med Fetal Heart Di, Beijing, Peoples R China

[4] Beijing Lab Cardiovasc Precis Med, Beijing, Peoples R China

[5] Beihang Univ, Sch Biol Sci & Med Engn, Beijing, Peoples R China

[6] Sichuan Univ, West China Univ Hosp 2, Natl Ctr Birth Defect Surveillance China, Off Maternal & Child Hlth Surveillance China, Chengdu, Peoples R China

[7] Sichuan Univ, West China Univ Hosp 2, Key Lab Birth Defects & Related Dis Women & Child, Minist Educ, Chengdu, Peoples R China

[8] Sichuan Univ, West China Univ Hosp 2, Sichuan Birth Defects Clin Res Ctr, Chengdu, Peoples R China

[9] Fudan Univ, Pediat Heart Ctr, Childrens Hosp, Shanghai, Peoples R China

[10] Beijing Maternal & Child Hlth Care Hosp, Dept Perinatal Hlth, Beijing, Peoples R China

[11] Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Guangdong Cardiovasc Inst, Dept Maternal Fetal Cardiol, Guangzhou, Peoples R China

[12] Tongji Univ, Shanghai Matern & Infant Hosp 1, Shanghai Inst Maternal Med & Gynecol Oncol, Sch Med,Dept Fetal Med, Shanghai, Peoples R China

[13] Tongji Univ, Shanghai Matern & Infant Hosp 1, Shanghai Inst Maternal Fetal Med & Gynecol Oncol, Sch Med,Prenatal Diag Ctr,Shanghai Key Lab Matern, Shanghai, Peoples R China

[14] Xijing Hosp, Dept Ultrasound, Xian, Peoples R China

[15] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Natl Childrens Med Ctr, Child Hlth Advocacy Inst,Sch Med, Shanghai, Peoples R China

[16] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Heart Ctr, Natl Childrens Med Ctr,Sch Med, Shanghai, Peoples R China

[17] Shanghai Jiao Tong Univ, Shanghai Inst Pediat Congenital Heart Dis, Shanghai Childrens Med Ctr, Natl Childrens Med Ctr,Sch Med, Shanghai, Peoples R China

[18] Shanghai Jiao Tong Univ, Shanghai Clin Res Ctr Rare Pediat Dis, Shanghai Childrens Med Ctr, Natl Childrens Med Ctr,Sch Med, Shanghai, Peoples R China

[19] Chinese Acad Med Sci, Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis,Pediat Cardiac Surg Ctr, Beijing, Peoples R China

[20] Chinese Acad Med Sci, Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis,State Key Lab Cardiovasc, Beijing, Peoples R China

来源：

LANCET CHILD & ADOLESCENT HEALTH | 2023年 / 7卷 / 07期

基金：

中国国家自然科学基金;

关键词：

PULSE OXIMETRY; BIRTH-DEFECTS; ECHOCARDIOGRAPHY; PREVALENCE; GUIDELINES; MORTALITY; HEALTH; RISK;

D O I：

10.1016/S2352-4642(23)00051-2

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Congenital heart disease (CHD), a wide spectrum of diseases with varied outcomes, is the most common congenital malformation worldwide. In this Series of three papers, we describe the burden of CHD in China; the development of screening, diagnosis, treatment, and follow-up strategies; and challenges associated with the disease. We also propose solutions and recommendations for policies and actions to improve the outcomes of CHD. In the first paper in this Series, we focus on prenatal and neonatal screening, diagnosis, and management of CHD. Based on advanced international knowledge, the Chinese Government has developed a network system comprising prenatal screening, diagnosis of CHD subtypes, specialist consultation appointments, and treatment centres for CHD. A new professional discipline, fetal cardiology, has been formed and rapidly developed. Consequently, the overall coverage of prenatal and neonatal screening and the accuracy of CHD diagnoses have gradually improved, and the neonatal CHD mortality rate has decreased substantially. However, China still faces several challenges in the prevention and treatment of CHD, such as insufficient diagnostic capabilities and unqualified consultation services in some regions and rural areas.

引用

页码：479 / 489

页数：11

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