摘要
目的 探讨婴幼儿室间隔缺损 (VSD)合并动脉导管未闭 (PDA)的外科治疗经验。方法 回顾性分析 44例VSD伴PDA婴幼病儿的临床特征、手术过程、围术期处理与转归。结果 婴幼儿VSD合并PDA者易早期产生重度肺动脉高压和心功能不全。手术死亡 2例 ,病死率 4 5 %。结论 VSD伴PDA婴幼病儿宜在 1岁前手术治疗 ,PDA可根据病情分期或一期手术 ,PDA恰当处理与术后转归关系密切 ,术后呼吸功能不全是死亡的主要原因。围术期应注意心功能保护 ,加强呼吸道管理及营养支持 ,预防和治疗肺动脉高压危象。
Objective: To review the experience of surgical treatment of ventricular septal defect(VSD) associated with patent ductus arteriosus (PDA) in infants and young children. Method: Forty-four patients with VSD associated with PDA underwent surgical management from July 1989 to May 1999. There were 17 males and 27 females. The mean age of patients at the time of operation was 17 months, and the mean bodyweight was 8.5 kg. The operative procedures included single ligation of PDA in 2, repaired VSD under cardiopulmonary bypass 2 months after ligation of PDA in 3, simultaneous repair of VSD and PDA under cardiopulmonary bypass in 39. Result: The hospital mortality was 4.5%(2/44). The cause of death was respiratory failure. Conclusion: Early severe pulmonary hypertension and heart failure can result from VSD associated with PDA in infants and young children. Surgical treatment of VSD associated with PDA in infants and young children should be performed as early as possible. Proper perioperative management is an important factor influencing surgical outcome.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2000年第4期215-217,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
室间隔缺损
动脉导管未闭
外科手术
婴幼儿
Ventricular septal defect Patent ductus arteriosus Pulmonary hypertension Surgical operative
