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标题：成人先天性心脏手术：选择成人科还是儿科机构？成人外科还是儿外科医生？
Ann Thorac Surg, 2009
作者：Kogon BE, Plattner C, Leong T
内容预览：Background: One of the current controversies in the field of adult congenital heart disease is whether patients should be cared for at an adult or pediatric facility and by an adult or pediatric heart surgeon. After transitioning our program from the children's hospital to the adult hospital, we analyzed our experience with each system.Methods: Between 2000 and 2007, 303 operations were performed on adults (age≥18 years) with congenital heart disease. One hundred eighty-five operations were performed in an adult hospital and 118 in a pediatric hospital. Forty-six operations were performed by an adult heart surgeon and 257 by a congenital heart surgeon.Results: Mean age, coexisting medical problems, and preoperative risk factors were higher in both the adult hospital group and adult...
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