摘要
目的探讨小儿先天性心脏病室间隔缺损（室缺）的外科治疗。方法全组１２００例，平均年龄（４．５±２．６）岁。平均体重（１５．５±５．７）ｋｇ。膜部缺损８５９例，干下型缺损３３９例，肌部及左室右房间隔缺损各１例。室缺伴肺高压２２５例，干下型伴主动脉脱垂或关闭不全１０８例，室间隔膜部瘤３１例。缺损直径０．３～３．０ｃｍ。手术切口：右房７２８例，右室１４１例，肺动脉３３１例。缺损直接缝合５０８例，补片修复６９２例。结果手术死亡１３例（１．０８％），其中伴肺高压１２例。死亡原因：低心排综合征５例，呼吸衰竭５例，心律失常、脑部并发症及感染各１例。结论正确诊断、适应证的掌握、手术技术改进、室缺肺高压围术期的处理极为重要。
おURPOSE To explore the surgical treatment of ventricular septal defect (VSD) in children.METHODS The open heart operation for closure of VSD was performed on 1200 cases. Their ages were (4.5±2.6) years and weight was (15.5±5.7)kg. The type of VSD. were perimembranous in 859; subarte￣rial in 339; and muscular defect, left ventricle right atrium septal defect in each one case. The dimension of VSD were 0.3～3.0cm. Incision were made on right atrium 728; right ventricle 141; pulmonary artery 331. Direct suture of the VSD in 508 (42.3%) and patch repair in 692 (57.7%). 225 cases were associated with pulmonary hypertension. Aneurysm of membrane septum in 31. According to informations from Echocardiog￣raphy prolapse of the aortic leaflet with aortic insufficiency was present in 225 cases in the type of VSD were subaorterial.RESULTS 13 cases died (1.08%), among those 225 cases associated with pulmonary hypertension 12 cases. Main causes of death were low output syndrome 5; respiration failure 5; arrhythmias, cerebral complication and infection each one case.CONCLUSIONS Proper perioperative management is very important to the surgical treatment for VSD with moderation of severe pulmonary hypertension in infancy.
出处
《上海医科大学学报》
CSCD
1998年第4期293-295,共3页
Journal of Fudan University(Medical Science)
关键词
室间隔缺损
儿童
外科手术
ventricular septal defect
surgical treatment
children
