室缺并重度肺高压的围手术期处理  

Perioperative management of ventricular septal defect with severe pulmonary hypertension

作　　者：杨再珍[1] 胡殿宇[2] 范书润[1] 冯光强[1] 邢志嵩[1] 王攀[1] 

机构地区：[1]郑州大学第五附属医院心脏外科,河南郑州450052 [2]郑州铁路职业技术学院医学分院外科

出　　处：《医学信息（手术学分册）》2006年第4期22-24,共3页Medical Information Operations Sciences Fascicule

摘　　要：目的探讨室缺合并重度肺动脉高压的围手术期处理方法。方法手术前静脉应用前列腺素E1一周;术中应用顺单向活瓣补片修补室缺;术后再静脉应用前列腺素E1两周。结果符合诊断的病人21例,围术期死亡2例,19例安全渡过围手术期出院。结论术前静脉应用前列腺素E1,术后应用前列腺素E1等药物和呼吸机治疗是该类病人顺利恢复的重要因素。Objective To study the perioperative management of ventricular septal defect （VSD）. Methods 1. prostaglandinE1 （PGE1）Can be used one week before the operation and two weeks after the operation ;2. unidirectional valve patch（UVP） were used to repair theVSD;3. All the patients were treated by ventilation therapy and respiratory care. Results There were 2cases dead in the early postoperative period,the other 19 cases survived well except 5 cases which were remained with right bond - branch - block（RBBB）, Conclusions Applying of PGE1 and ventilator is an important fact to preserve the patients to be survived safely.

关 键 词：室间隔缺损 肺动脉高压 围手术期处理 

分 类 号：R654.2[医药卫生—外科学]