英国心脏形态学：一个世纪或更久
本文回顾《Archives of Disease in Childhood》创刊以来英国对先天性心脏畸形形态学的认知演变。指出英国先心病成年存活人数已超过儿童，反映诊断与治疗及解剖理解的显著进步。强调心脏解剖本身未改变，改变的是研究解剖的方法，英国学者贡献重大。
要点
- 英国先心病成人存活者已多于儿童，体现诊疗进步。
- 先心病病理本质是异常解剖，解剖本身未变。
- 形态学方法近半个世纪变化显著，英国学者影响大。
核心结论
- 英国先心病成年存活者已超过儿童，反映诊断、治疗与形态学认知的显著进展。
主要发现
- 近半个世纪以来，对先天性心脏畸形解剖的认识方法发生重大变化，英国从业者对此有重要影响。
- 先心病的病理主要是异常解剖，解剖本身并未改变。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
As is pointed out elsewhere in these reminiscences, much has changed over the timespan of Archives with regard to the diagnosis and treatment of those born with congenitally malformed hearts. It is salutary to realise, as is emphasised by Professor Barron, that more adults are now alive in the UK with congenitally malformed hearts than children. This reflects the huge advances not only in treatment but also in diagnosis. This, in turn, reflects in part the equally significant advances that have been made in understanding the underlying anatomy. But the anatomy, of course, has not changed. It is the approaches to anatomy that have changed, with most of these changes taking place over the past half-century. Those practising in the UK have had a large influence in providing the necessary understanding. The ‘pathology’ of the congenitally malformed heart is primarily one of abnormal anatomy. In many ways, that fact...
引用
- Archives of Disease in Childhood：A century or more of cardiac morphology in the United Kingdom
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。