婴幼儿先天性心脏病外科治疗  

Surgical treatment of Congenital heart disease in 50 infants

作　　者：赵根尚[1] 张大新[1] 冯德广[1] 法宪恩[1] 张瑞成[1] 庄世才[1] 

机构地区：[1]河南医科大学第二附属医院心外科,450003

出　　处：《河南外科学杂志》2001年第2期123-124,共2页Henan Journal of Surgery

摘　　要：目的 总结50例婴幼儿先天性心脏病的外科治疗经验。方法 年龄4～36m,平均14±3月,男性39例,女性20例。体重4.5～18kg,平均13±2.5kg,心胸比率0.45～0.80,平均0.55±0.10。其中30例有不同程度肺动脉高压。25例有2种以上病变。5例常温下行动脉导管结扎术,其余45例均在全身麻醉,浅低温,体外循环下行心内畸形根治术。结果 术后30d内死亡5例(10％),发生各种并发症5例(10％),无远期死亡病例及并发症。结论 婴幼儿先天性心脏病早期治疗可明显减轻症状,一般均可根治,手术效果令人满意。Aim: To review the experience of surgical treatment of congenital heart diseases in 50 infants. Method: From Jan,1999 to Jan ,2001, 50 infants were operated on for various congenital heart diseases. There were 30 males and 20 females. Their age ranged from 4 to 36 months, Mean ages was 14 ?3 months, the body weight were 4.5 - 18kg, mean body weight was 15 ?.5kg. The cardiac and thoracic ratio was 0.45 - 0.8, mean 0.55 ?0.10.30 infants had varius degree of pulmonary hypertension, and 25 infants were associated with two or more cardiac anomalies. 5 infants had ligation of patent ductus arteriosus under normorthermic anaesthesia and 45 infants were operated on for various cardiac anomalies under hypothermic Cardiopulmonary bypass. Results: The operative mortality within 30 days was 10% (5 cases) and morbidity was 10% (5 cases) during follow - up, no death occured and no complication occured. Conclusion: The congenital heart disease in infants should be diagnosed as early as possible. The early surgical intervention is satisfactory

关 键 词：心脏畸形 先天性 心脏外科手术婴幼儿 

分 类 号：R6[医药卫生—外科学]