摘要
目的总结低体质量婴幼儿先天性心脏病合并重度肺动脉高压的嗣术期治疗体会。方法回顾总结2006年1月—2011年1月320例体质量≤10kg的先天性心脏病合并重度肺动脉高压婴幼儿嗣术期治疗情况。结果所有患儿均行手术治疗,围手术期死亡6例,病死率1.88%:死亡原因:低心排综合征3例,肺动脉高压危象2例,恶性心律失常1例。术后随访复查心脏彩色超声,肺动脉压力明显下降。结论及时的手术治疗充分的围术期处理、加强术后监护是低体质量婴幼儿先天性心脏病合并重度肺动脉高压治疗成功的关键。
Objective To summarize the experience of low weight infants with congenital heart diseases associated with serious pulmonary hypertension.Methods From Jan.2006 to Jan.2011,retrospectively reviewed perioperative condition of 320 congenital heart disease cases of infants who weigh less than or equal to 10kg.Results All patients underwent the operation.6 infants were died and the perioperative mortality was 1.88%,the reason of death as follows,3 cases caused by low output syndrome（LOS）,2 cases caused by pulmonary hypertension and 1 case caused by vicious arrhythmia.Pulmonary artery pressure decreased obviously revealed by the follow-up cardiac ultrasound examination.Conclusion Operation in time, proper perioperative care,strengthen postoperative care are the key points for the treatment of low weight infant suffered from congenital heart disease associated with pulmonary hypertension.
出处
《疑难病杂志》
CAS
2012年第1期17-19,共3页
Chinese Journal of Difficult and Complicated Cases
关键词
低体质量
婴幼儿
心脏病
先天性
肺动脉高压
重度
围术期治疗
Low weight
Infants
Heart disease
congenital
Pulmonary hypertension
serious
Perioperative treatment
