Baby's lips turn purple when crying

If a child's lips turn purple when crying, parents must pay special attention, because this is likely a symptom caused by congenital heart disease. As for congenital heart disease, it must be discovered and treated early, which will be of great benefit to the health of the child. Below, we will introduce to you in detail the treatment methods of congenital heart disease!

1. Choose the right treatment

Generally, only a few types of congenital heart disease can recover naturally. For others, complications will gradually increase and the condition will gradually worsen with age.

The choice of treatment and the correct timing of surgery mainly depend on the scope and degree of congenital heart malformation. Simple and mild malformations such as atrial septal defect and simple pulmonary valve stenosis have no obvious effect on hemodynamics if the defect diameter is small, and no treatment is required for life. Severe congenital heart diseases such as complete transposition of the great arteries or hypoplastic left heart syndrome must be treated with surgery immediately after birth or the baby will not survive.

2. Congenital heart disease cases under conservative observation.

(1) Patients with a small diameter secundum atrial septal defect and no tendency to pulmonary hypertension can be observed to undergo surgery again at the age of 3 to 5 years;

(2) Membranous ventricular septal defects with a diameter of less than 4 mm have little effect on cardiac function and are likely to close automatically, so they can be observed until the age of 3 to 5 years. If the ventricular septal defect still fails to close, surgical treatment should be considered. Since ventricular septal defect may induce bacterial endocarditis, and the safety of surgical operation is very high, it is not recommended to wait for a long time.

(3) Aortic valve stenosis with a transvalvular pressure gradient less than 40 mmHg or pulmonary valve stenosis with a transvalvular pressure gradient less than 60 mmHg. The prerequisite for conservative treatment of these cases is that they must undergo more than two cardiac ultrasound examinations in a hospital with a high level of congenital heart surgery treatment. In addition, regular follow-up observations and necessary examinations are required during the observation period to avoid misdiagnosis and loss of treatment opportunities.

3. Choose the right time for surgery

Choosing the right time for surgery is the key to successful congenital heart disease surgery and a good prognosis.

Currently, there are several main factors that determine the timing of surgery:

(1) Pathological characteristics of congenital heart disease and its impact on hemodynamics Generally speaking, the more complex the deformity, the greater the impact on hemodynamics, and the earlier surgical treatment should be performed.

(2) Progression of secondary pathological changes: For left-to-right shunt congenital heart disease, surgical correction should be performed before pulmonary vascular obstructive changes occur. Cyanotic and obstructive congenital heart disease should be treated with surgery before severe myocardial hypertrophy and fibrosis occur.