摘要
本文报告从1987年9月至1991年12月间在体外循环下直接缝闭动脉导管未闭(PDA)24例的体会。在24例中,合并其他心内畸形16例,肺动脉高压11例。在低温低流量转流下,经肺动脉切口缝闭动脉导管。本组手术早期死亡1例,死于与人工瓣膜有关的弥散性血管内凝血。手术要点为:转流后尽早切开肺动脉,在其腔内用手指堵住导管开口,保证有效的左心引流,缝闭导管时持续低流量灌注,不停循环,心内吸引避免深入到动脉导管内防止体循环气栓。18例获随访,随访期4个月至55个月,无远期死亡。本手术方法对难度大的 PDA 或 PDA 伴有其他心内畸形者是一种比较安全的外科治疗方法。
Twenty-four patients with PDA were operated by suture through transpulmonary arterial
incision under cardiopulmonary bypass with hypothermia from September 1985 through De-
cember 1991.Sixteen cases were associated with other intracardiac anomalies; 11 cases with
pulmonary hypertention.The early operative mortality was 4.2%.Follow-up study in 18
cases from 4 to 55 month after operation showed satisfactory results without late death.
出处
《上海医学》
CAS
CSCD
北大核心
1993年第1期8-10,共3页
Shanghai Medical Journal
关键词
动脉导管未闭
体外循环
手术
Patent ductus arteriosus Extra-corporeal circulation
