摘要
目的探讨儿童心脏瓣膜置换的有关问题。方法１９９２年３月至１９９７年１２月，对７例儿童进行了心脏瓣膜置换手术，其中二尖瓣置换术５例，主动脉瓣置换术２例，同期修补室间隔缺损３例。结果术后发生急性呼吸功能衰竭１例，急性心包填塞１例，全组无手术死亡。术后随访１～６９个月，患者发育正常，活动量增加。结论儿童换瓣应尽可能选用较大型号的双叶机械瓣，升主动脉根部心包补片加宽及改进缝合技术能使瓣环较小的患儿置入较大型号的心瓣膜。
Objective To study the surgical management associated with the valve replacement in
children. Method Seven children with heart valvular disease underwent valve replacement from
March 1992 to November 1997.Five of them received surgical procedure in the mitral position
and other two in the aortic position.Three of them were required additional repair of ventricular
septal defect. Result No death was in all cases.Acute respirtory failure happened in one and
acute cardiac tamponade was in another one.They gained the normal development and
increasing in physical exercise during followup time from 1 to 69 months. Conclusion It is
suggested that the greater type of bileaflet valve prosthesis be essential for valve replacement
in children.Pericardial patch graft aortoplasty and modification of suture technique should be
useful for children with small valvular ring.
出处
《临床外科杂志》
1999年第4期199-200,共2页
Journal of Clinical Surgery
关键词
心脏瓣膜病
儿童
瓣膜置换
eart valvular diseaseChildrenValve
replacement
