摘要
目的 总结手术矫治 3个月以内婴儿室间隔缺损的效果。方法 1999年 6月～ 2 0 0 1年 11月手术治疗 2 0例先天性心脏病室间隔缺损伴肺动脉高压婴儿 ,其中男 12例 ,女 8例。年龄 34～ 10 4d ,平均 (74.6 5± 9.70 )d。体重 3.35～ 7.0 0kg ,平均 (4 .93± 0 .94)kg。室间隔缺损均为单发 ,其中膜周型 16例 ,肺动脉瓣下 4例。 2例合并动脉导管未闭 (PDA) ,1例合并房间隔缺损 (ASD)、PDA及主动脉缩窄 (CoA) ,1例合并ASD和右冠状动脉 右室瘘。所有患儿均在全麻低温体外循环下行Ⅰ期矫治术。结果 术后早期 (30d内 )死亡 1例 (病死率 5 .0 % )。发生并发症者 10例 ,发生率5 0 .0 %。肺不张 4例 ,低心排 2例 ,心律失常 2例 ,肺炎 2例 ,胸腔积液 1例 ,渗漏综合征 1例 ,经治疗后痊愈出院。结论 反复肺炎和肺动脉高压的室间隔缺损婴儿应尽早手术根治。
Objective To review the efficacy of ventricular septal defects repair in infants less than 3 months of age. Methods From June 1999 to November 2001, 20 cases (male 12, female 8) of ventricular septal defects with pulmonary hypertension were operated. The mean age was 74.65± 9.70(34～104)days and mean weight 4.93± 0.94( 3.35～ 7.00)kg . In this group, the perimembranous type was in 16 patients, the conal septal defect in 4. There were two patients associated with patent ductus arteriosus (PDA), one with atrial septal defect (ASD)?PDA and coarctation of the aorta (CoA), 1 with ASD and fistula between right coronary artery and right ventricle. All cases were repaired under cardiopulmonary bypass (CPB). Results Operative mortality was 5% (1/20). The most common postoperative complications were pulmonary, arrhythmia and low cardiac output syndrome. Conclusions VSD in infants with repeated pneumonia and pulmonary hypertension should be operated on as earlier as possible. It is important to pay more attention to the management of respiratory system and adjustment of liquids equilibrium after operation.
出处
《中华小儿外科杂志》
CSCD
北大核心
2002年第5期407-409,共3页
Chinese Journal of Pediatric Surgery
