摘要
目的 探讨合并心内畸形的动脉导管未闭 (PDA)的外科治疗 ,并就其常见并发症进行分析。方法 6 3例患者 ,分别采用正中劈胸骨经心包内分离双重结扎PDA ,或体外循环辅助下切开肺动脉直视下缝闭PDA ,同期行心内畸形矫治。结果 早期死亡 3例 (4.76 % )。发生呼吸衰竭 7例 ,肾功能衰竭 1例 ,严重室性心律紊乱 1例。 6 0例痊愈出院 ,随访 2个月至 8年 ,恢复良好。结论 心内畸形合并PDA应早行同期矫治 ,浅低温心脏跳动下经肺动脉直视下缝闭PDA ,同时矫正心内畸形疗效优良 。
Objective To evaluate the surgical techniques for patent ductus arteriosus (PDA) associated with intracardiac malformation. Methods Surgical management, including double ligation for closure of the ductus via median sternotomy, direct suture of pulmonary artery with cardiopulmonary bypass and the intracardiac malformation was repaired at the same time. Results Early death in 3 cases (4.76%) postoperatively, 7 were complicated with pulmonary failure, 1 with renal failure, and 1 with contractable ventricular arrhythmias. Sixty patients with a good recovery in a period of 2 months to 8 years follow up. Conclusion Simultaneous operations on patients with intracardiac malfor mation and PDA are safe and effective. PDA can be safely sutured in pulmonary artery on beating heart with mild hypothermic cardiopulmonary bypass.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2000年第11期1059-1061,共3页
Journal of Third Military Medical University
