{ "Key": "PediatricCongenitalHeartDiseasePrescription", "Name": "儿童先天性心脏病患者健康教育处方", "Content": [ { "label": "姓名", "defaultValue": null, "span": 12, "key": "PatientName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "性别", "defaultValue": null, "span": 24, "key": "PatientGender", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "男", "value": "1" }, { "label": "女", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "年龄", "defaultValue": null, "span": 12, "key": "PatientAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "诊断", "defaultValue": null, "span": 12, "key": "DiseaseName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": " 先天性心脏病(简称“先心病”)是由于胎儿时期心脏血管发育异常而导致的先天性心脏畸形。常见的先心病有室间隔缺损、房间隔缺损、动脉导管未闭、肺动脉狭窄、法洛四联症等。\r\n 先心病患儿可出现反复呼吸道感染、喂养困难、气促，易出汗、活动力差、生长发育迟缓等。紫绀型先心病患儿则表现为口周发绀、杵状指(趾)，走路时常喜欢有下蹲动作。婴儿出生后即有颜面口唇、甲床青紫，往往为复杂先心病的表现。\r\n 先心病的预防很重要。备孕父母要保持身体健康、心情愉悦，有良好的生活习惯(戒烟、戒酒等)。特别是孕早期注意预防感冒及各种疾病的发生，发生疾病要在医生指导下谨慎用药。特殊情况下，医生可提出是否继续妊娠的建议。\r\n 大多数先心病患儿如果得到及时治疗，不会对孩子产生太大影响，畸形纠治后，患儿可以像正常孩子一样生长发育。一旦错过治疗时间(多指学龄前)，先天畸形带来的继发性改变，会让病情变得复杂，后续治疗更加困难，治疗风险增加，甚至失去手术机会。\r\n 采取健康生活方式，积极治疗，有助于身体康复，改善生活质量。", "defaultValue": null, "span": 12, "key": "Hint_Label", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "健康生活方式", "defaultValue": null, "span": 12, "key": "PatientInspectionItems", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "预防感冒，避免感染。避免去人群密集场所，防止交叉感染。", "value": "1" }, { "label": "杜绝参加高强度、剧烈的运动。", "value": "2" }, { "label": "家长需悉心照顾患儿，生活规律，保证患儿休息和睡眠充足，避免劳累。", "value": "3" }, { "label": "养成良好的卫生习惯，饭前便后洗手。", "value": "4" }, { "label": "饮食营养卫生，保证充足热量，避免油腻及辛辣食物。偏瘦的儿童，要遵医嘱喂养特殊的高热量食物。", "value": "5" }, { "label": "避免受到烟草危害。", "value": "6" }, { "label": "家长要密切关注患儿的情绪变化和心理状况，理解和关爱患儿，帮助患儿建立自信和战胜疾病的信心。如果患儿出现烦躁不安、恐惧及抑郁等表现时，及时给予安抚和情感支持，必要时寻求专业人员帮助。", "value": "7" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "治疗与康复", "defaultValue": null, "span": 12, "key": "History", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "症状、病变较轻，对生长发育影响不大的先心病患儿，因其有自然愈合的可能(一般在2岁以内愈合，5岁以后愈合的可能性小)，可暂不手术，但应每半年至一年随诊复查一次，以掌握肺动脉压变化情况及缺损愈合情况，确定是否手术及手术时机。", "value": "1" }, { "label": "对一些症状明显(如反复呼吸道感染、肺炎、心功能不全)病变较重(如完全性肺静脉异位引流、房室间隔缺损、大的室间隔缺损、大的动脉导管未闭或复合畸形)的先心病患儿，应及时手术。", "value": "2" }, { "label": "法洛四联症患儿一般应在1岁内予以手术治疗，长期缺血缺氧将影响其他器官的发育，加重继发畸形，影响手术远期疗效。而对于常出现缺氧发作的患儿则无年龄限制，应尽早手术。", "value": "3" }, { "label": "严重的紫绀先心病患儿(如大动脉转位、肺动脉闭锁等)，由于其生存受到严重威胁，需在新生儿期立即手术。", "value": "4" }, { "label": "术后患儿要适当运动，并接受1～3个月的强心利尿治疗，促进心脏康复。", "value": "5" }, { "label": "病情复杂、需分期手术的患儿，要遵医嘱按时复查，以确定后续治疗的时间和方式。", "value": "6" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "急症处理", "defaultValue": null, "span": 12, "key": "Conclusion", "type": "checkbox", "border": null, "disabledValue": "", "options": [ { "label": "如病情加重，尤其是出现下列情况，应尽快到医院就诊：\r\n（1）喂养困难或婴儿拒食，呼吸急促，哭闹及吃奶后口唇青紫。\r\n（2）缺氧发作(可表现为晕厥，发绀加重等)。\r\n（3）其他严重情况。", "value": "1" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "其他指导建议", "defaultValue": null, "span": 12, "key": "ReportDescription", "type": "textareaInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "医生/指导人员签名:", "defaultValue": null, "span": 12, "key": "DigitalSignature", "type": "signature", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "咨询电话:", "defaultValue": null, "span": 12, "key": "PatientPhoneNumber", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "日期", "defaultValue": null, "span": 12, "key": "ReportTime", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "儿童先天性心脏病患者健康教育处方使用说明 \r\n ★使用对象：儿童先天性心脏病患者的父母或看护人。 \r\n ★使用方法 \r\n 1.本处方不能替代医务人员开具的医疗处方，主要用于患者健康生活方式指导。 \r\n 2.医务人员应结合患者的病情、健康危险因素等，有针对性地提供健康指导。", "defaultValue": null, "span": 12, "key": "DescriptionLabel", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null } ] }