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目的:对靖远县87 672名中小学生进行先天性心脏病(以下简称先心病)调查,以了解在校中小学生患病情况。方法:采用询问病史和家族史、心脏听诊、体格检查等方法做初步筛选,对心脏杂音阳性者进一步行胸部X线、心电图、心脏彩色多普勒复查以确诊。结果:此次调查筛选出心脏有杂音或可疑杂音者1 912人,经进一步复查确诊为先心病患者191人,先心病患病率为0.217%。以室间隔缺损最为常见。结论:针对靖远县中小学生先心病发病的主要原因,应积极采取干预措施,降低当地儿童先心病的发生,提高人口素质。
Objective: To investigate the prevalence of primary congenital heart disease among 87 672 primary and secondary school students in Jingyuan County (hereinafter referred to as CHD) to understand the prevalence of primary and secondary school students in school. Methods: Initial screening was made by means of interrogating medical history and family history, auscultation of the heart and physical examinations. Chest X-ray, electrocardiogram and color Doppler echocardiography were performed on patients with positive cardiac murmur to confirm the diagnosis. Results: In this survey, 1 912 people with murmur or suspicious heart murmur were screened out. Among them, 191 were further diagnosed as congenital heart disease, the prevalence of congenital heart disease was 0.217%. Ventricular septal defect is the most common. Conclusion: According to the main reason for the incidence of congenital heart disease in primary and secondary school students in Jingyuan County, intervention measures should be actively taken to reduce the occurrence of congenital heart disease in local children and improve the population quality.