Amiri, Alireza

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   ﻛﺮﻣﺎن داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ و ﺧﺪﻣﺎت ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ  داﻧﺸﻜﺪه ﭘﺰﺷﻜﻲ ﻣﻬﻨﺪس اﻓﻀﻠﻲ ﭘﻮر  ﺟﻬﺖ درﻳﺎﻓﺖ درﺟﻪ دﻛﺘﺮاي ﻋﻤﻮﻣﻲ    :ﻋﻨﻮانﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ آﻧﻮﻣﺎﻟﻲ ﻫﺎي ﻗﻠﺒﻲ درﻛﻮدﻛﺎن و ﻧﻮزادان  ﻣﺒﺘﻼ ﺑﻪ ﺳﺎﻳﺮآﻧﻮﻣﺎﻟﻲ ﻫﺎي اﻛﺴﺘﺮاﻛﺎردﻳﺎك  79- 69ﺳﺎﻟﻬﺎي در ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﺑﻴﻤﺎرﺳﺘﺎن اﻓﻀﻠﻲ ﭘﻮر ﻛﺮﻣﺎن     اﺳﺘﺎد راﻫﻨﻤﺎ: ﺟﻨﺎب آﻗﺎي دﻛﺘﺮ ﻣﺤﻤﺪ ﻣﻬﺪي ﺑﺎﻗﺮي      ﭘﮋوﻫﺶ و ﻧﮕﺎرش: ﻋﻠﻴﺮﺿﺎ اﻣﻴﺮي      8931         ﻫﺪفﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ آﻧﻮﻣﺎﻟﻲ ﻫﺎي ﻗﻠﺒﻲ درﻛﻮدﻛﺎن و ﻧﻮزادان  ﻣﺒﺘﻼ ﺑﻪ ﺳﺎﻳﺮآﻧﻮﻣﺎﻟﻲ ﻫﺎي اﻛﺴﺘﺮاﻛﺎردﻳﺎك ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه  79-69ﺑﻪ ﺑﻴﻤﺎرﺳﺘﺎن اﻓﻀﻠﻲ ﭘﻮر ﻛﺮﻣﺎن در ﺳﺎﻟﻬﺎي  ﻣﻘﺪﻣﻪﺷﺎﻳﻌﺘﺮﻳﻦ ﻧﻘﺺ ﻫﻨﮕﺎم ﺗﻮﻟﺪ  DSV و DSA .ﺷﺎﻳﻌﺘﺮﻳﻦ ﻋﻠﺖ ﻣﺮگ و ﻣﻴﺮ ﻧﻮزادان ﺑﻴﻤﺎري ﻣﺎدرزادي ﻗﻠﺐ اﺳﺖو ﺗﺘﺮوﻟﻮژي ﻓﺎﻟﻮت  ﻣﺠﺮاي ﺷﺮﻳﺎﻧﻲ ﺑﺎزﻫﺴﺘﻨﺪ. ﻧﺎﻫﻨﺠﺎرﻳﻬﺎي دﻳﮕﺮ ﺷﺎﻣﻞ ﻧﻘﺎﻳﺺ درﻳﭽﻪ ، ﺑﻴﻤﺎري ﻫﺎي آﺋﻮرت ، ارﺗﺒﺎط ﺑﻴﻦ ﻧﺎﻫﻨﺠﺎري ﻫﺎي ﻗﻠﺐ و ﺳﺎﻳﺮ  ﺗﻌﻴﻴﻦاﺳﺖ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ داﻣﻨﻪ و ﺷﻴﻮع ﺑﺎﻻي ﻧﺎﻫﻨﺠﺎري ﻫﺎي ﻣﺎدرزادي ،  .ﻧﺎﻫﻨﺠﺎري ﻫﺎ در ﻧﻮزادان ﺿﺮوري اﺳﺖ ﻣﻮاد و روشﻛﻠﻴﻪ ﻧﻮزادان و ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ آﻧﻮﻣﺎﻟﻲ ﻳﺎ ﻣﺸﻜﻮك ﺑﻪ ﺳﻨﺪرم ﻫﺎي ﻣﺎدرزادي ﻛﻪ در ﺑﺨﺸﻬﺎي ﻧﻮزادان ﻳﺎ اﻃﻔﺎل ﭘﺮوﻧﺪه ﺑﺎﻳﮕﺎﻧﻲ ﺷﺪه ي  ﻛﻪ ﭘﺲ از ﺑﺮرﺳﻲ ﺑﺴﺘﺮي ﺑﻮده ﻛﻪ ﺗﺤﺖ ﻣﺸﺎوره ﻗﻠﺐ و اﻛﻮﻛﺎردﻳﻮﮔﺮاﻓﻲ ﻗﺮار ﮔﺮﻓﺘﻪ اﻧﺪﺑﻴﻤﺎر و روﻳﺖ ﺑﺮﮔﻪ ي ﺷﺮح ﺣﺎل و روﻳﺖ ﻧﻮارﻗﻠﺐ و ﮔﺮاﻓﻲ ﻗﻔﺴﻪ ﺻﺪري و اﻛﻮﻛﺎردﻳﻮﮔﺮاﻓﻲ  ﻛﻪ در ﭘﺮوﻧﺪه ي ﻗﺎﺑﻞ  ﻣﺸﺎﻫﺪه و  ﺑﺮرﺳﻲ ﻣﻴﺒﺎﺷﺪ  ﺑﺮاي ﻛﻠﻴﻪ ﺑﻴﻤﺎران ﭘﺮﺳﺸﻨﺎﻣﻪ ﻃﺮاﺣﻲ ﺷﺪه ﭘﺮ ﺷﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ%( دﭼﺎر آﻧﻮﻣﺎﻟﻲ ﺳﺎده 45ﻧﻔﺮ ) 18ﻮرد ﻣﻄﺎﻟﻌﻪ، از ﻣﻴﺎن اﻓﺮاد ﻣﺑﻴﻤﺎر ﻧﻘﺎﻳﺺ ﻗﻠﺒﻲ داﺷﺘﻨﺪ. 131ﺑﻴﻤﺎر ،  051از ﺷﺎﻳﻊ ﺗﺮﻳﻦ اﻧﻮﻣﺎﻟﻲ  ﺳﺎﻟﻢ ﺑﻮده اﻧﺪ. %(  66,21)ﻧﻔﺮ 91%( دﭼﺎر آﻧﻮﻣﺎﻟﻲ ﻛﻤﭙﻠﻜﺲ ﻗﻠﺒﻲ و 33,33ﻧﻔﺮ ) 05ﻗﻠﺒﻲ، در ﺑﻴﻤﺎران %( ﺑﻮد.31,22)DSVﻗﻠﺒﻲ در ﻣﻴﺎن ﺗﻤﺎم اﻓﺮاد دﭼﺎر آﻧﻮﻣﺎﻟﻲ ﻗﻠﺒﻲ ﻫﻤﺮاه ﺑﺎ آﻧﻮﻣﺎﻟﻲ اﻛﺴﺘﺮا ﻛﺎردﻳﺎك ﻧﺎﻫﻨﺠﺎري ﻫﺎي  :ﺑﻪ ﺷﺮح زﻳﺮ ﺑﻮدﻧﺪ ﻗﻠﺒﻲﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻧﺎﻫﻨﺠﺎري ﺧﺎرج  ﺷﻴﻮع ﻧﺎﻫﻨﺠﺎري ﻗﻠﺒﻲ ،ﻣﺒﺘﻼ ﺑﻪ  دﺳﺘﮕﺎه ﻧﺎﻫﻨﺠﺎري ﻫﺎي ﺑﻌﺪ از آن ﺳﻴﺴﺘﻢ ﻋﺼﺒﻲ رﺗﺒﻪ اول ، ﻧﺎﻫﻨﺠﺎري ﻫﺎي دﺳﺘﮕﺎه ﮔﻮارش در ﺟﺎﻳﮕﺎه دوم و  ﺗﻨﺎﺳﻠﻲ ﺑﻮدﻧﺪ. ادراري   ﻧﺘﻴﺠﻪ ﮔﻴﺮيزﻳﺎد اﺳﺖ. ﺑﺎ ﻧﺎﻫﻨﺠﺎري ﻫﺎي اﻧﻮرﻛﺘﺎل ﻣﺮي و اوروژﻧﻴﺘﺎل ن ﻣﺒﺘﻼ ﺑﻪ ﺷﻴﻮع ﻧﺎﻫﻨﺠﺎري ﻫﺎي ﭘﻴﭽﻴﺪه ﻗﻠﺒﻲ در ﺑﻴﻤﺎرا .ﻣﻌﺎﻳﻨﻪ دﻗﻴﻖ ﻗﺒﻞ از ﺑﺎرداري و در دوران ﺑﺎرداري ﻣﻲ ﺗﻮان از اﻧﻮاع ﻧﺎﻫﻨﺠﺎري ﻫﺎي ﻗﻠﺒﻲ ﺟﻠﻮﮔﻴﺮي ﻛﺮد ﻛﻠﻴﺪ واژه ﻫﺎ ، اﻛﻮﻛﺎردﻳﻮﮔﺮاﻓﻲ ﻲﻧﺎﻫﻨﺠﺎرﻳﻬﺎي ﻗﻠﺒﻲ ، ﻧﺎﻫﻨﺠﺎرﻳﻬﺎي ﺧﺎرج ﻗﻠﺒ                  Evaluation  of cardiac anomaly in neonates and  children  with  other anomalies in patients referred to afzalipour hospital of kerman during 2017_2018  Introduction The most common cause of infant mortality are congenital heart disease. ASD and VSD are the most common birth defects. Other abnormalities include valvular defects, diseases of the aorta, patent ductus arteriosus and the Tetralogy of Fallot. Anomalies are divided into two categories: major and minor. Major malformations such as cleft palate or neural tube defects are abnormalities that required reconstructive surgery and treatment interventions. Due to the range and the high incidence of congenital abnormalities, the relationship between heart abnormalities and other abnormalities in babies is necessary.  Material and Method All infants with anomalies have been visited by a neonatal or pediatric surgeon in afzalipor hospital. Then referred to the pediatric cardiologist for physical examination and/or echocardiography.   Results Of the 150 patients, 131 patients had heart defects. Within the patients with cardiac abnormality, the patients with extracardiac abnormality were as below: Nervous system anomalies rank first, gastrointestinal anomalies rank second and the third place was urogenital anomalies.  Conclusion The prevalence of complex heart anomalies in patients with Down syndrome and urogenital anomalies are high. With a careful examination before pregnancy and during pregnancy we can prevent a variety of heart anomalies.  Key words Cardiac anomalies, Extracardiac anomalies, Echocardiography    

بررسی فراواني آنومالی هاي قلبی درکودکان و نوزادان  مبتلا به سایرآنومالی های اکستراکاردیاک مراجعه کننده به بیمارستان افضلی پور کرمان در سالهای 96-97

http://eprints.kmu.ac.ir/31893/1/7397.pdf

بررسی فراواني آنومالی هاي قلبی درکودکان و نوزادان مبتلا به سایرآنومالی های اکستراکاردیاک مراجعه کننده به بیمارستان افضلی پور کرمان در سالهای 96-97

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