It is very difficult to treat a child with a ventricular septal defect. Most of these diseases are congenital. If a child has this disease, he or she needs timely rescue. It is also very troublesome to control a congenital disease. However, for the sake of the child's life, the child must be treated symptomatically in time. If the baby's ventricular septal defect is severe, surgical treatment is required. So what should be done with a baby's ventricular septal defect? 1. Treatment of small defects: Small defects refer to defects with a diameter less than 0.5 cm, mild clinical symptoms, and high activity levels in children. In addition to heart murmurs during physical examination, other examinations including electrocardiograms and chest X-rays are normal. However, echocardiograms or cardiac color Doppler ultrasound examinations can sometimes confirm small defects. For such small defects, about 1/2 to 2/3 can be closed naturally from birth to 5 years old. If they still cannot be closed naturally after 5 years old, surgical treatment should be considered. For these small defects, open-chest heart surgery will cause great damage to the child's body, which is naturally not cost-effective. At present, the pediatric cardiology departments of several large hospitals in my country have officially launched "surgery for repairing ventricular septal defects through cardiac catheterization", which means that there is no need for open-chest heart surgery. This is a very effective and ideal surgery with minimal trauma. 2. Treatment of medium-sized defects: It means that the largest diameter of the defect is 0.6 to 0.9 cm. Symptoms may appear after the child is born. The child may have repeated respiratory infections, coughs, fatigue after activities, blue around the mouth when the baby cries violently, etc., but some do not have many symptoms, but they are not as good as children of the same age in strenuous exercise. Moderate defects are easy to diagnose. The timing of surgical treatment is determined by the presence or absence of symptoms, cardiac signs, whether pulmonary hypertension has formed, and the enlargement of the heart found in electrocardiogram, X-ray chest film, echocardiogram or color cardiac ultrasound examination. If the symptoms and heart condition allow, you can wait until after 2 years old. If the heart is enlarged and there is early pulmonary hypertension, the operation should be performed before 2 years old, or even before 1 year old. At present, most moderate defects can be treated with cardiac catheters for ventricular septal defects. If the location of the defect is special or there are other contraindications to cardiac catheter surgery. If a child has ventricular septal defect, it is necessary to choose this method of treatment in time, because this disease has a great impact and harm on the child. If this disease suddenly becomes serious, it is easy to be life-threatening, and the mortality rate of this disease is very high. Therefore, once a child suffers from this disease, he must be sent to the hospital for treatment in time. |
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