摘要
报告 3 9例出生 6个月以内小婴儿巨大型室间隔缺损的外科治疗经验。方法 体外循环下除 4例经肺动脉切口外其余均经右房切口 ,行补片缝合修补室间隔缺损。其中合并动脉导管未闭 5例、房间隔水平分流 12例和右室流出道狭窄 2例均同期矫治。结果 39例病儿均痊愈出院。结论 巨大型室间隔缺损的小婴儿出现顽固性心力衰竭、药物治疗无明显效果或生长发育停滞及肺动脉高压时即应手术。
Object: To review the experience of surgical closure of large ventricular septal defect in young infants. Method: Surgical repair was performed in 39 patients with ventricular septal defect (VSD). The concomitant heart abnormalities were with atrial septal defect in 12, obstruction of right ventricular outflow tract in 2 and patent ductus arteriosus in 5. There were 16 males and 23 females with age less than 6 months old. Result: There were no operative deaths or severe postoperative complications. All patients recovered smoothly. Conclusion: Surgical closure should be performed in young infants with large VSD, especially for those who have accompanying stubborn congestive heart failure, pulmonary hypertension and retardation of growth irrespective of the age and weight. Proper peri-operative care is the most important measures to reduce the postoperative mortality.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第3期134-135,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
巨大型空间隔缺损
外科手术
婴儿
Heart septal defect,ventricular Surgery,operative Infant
