单向开放卵圆孔在先天性心脏病并重度肺动脉高压外科治疗中的应用  

Unidirectional Opening of Oval Foramen Using in Surgical Correction of Congenital Heart Disease with Severe Pulmonary Hypertension

作　　者：陈景伟[1] 罗瑞芳[1] 钟焕清[1] 夏天[1] 赖锋华[1] 林秋伟[1] 刘浪[1] 钟汝核[1] 

机构地区：[1]广东省高州市人民医院心外三科,广东高州525200

出　　处：《中国现代医生》2008年第32期37-39,共3页China Modern Doctor

摘　　要：目的探讨单向开放卵圆孔在先天性心脏病并重度肺动脉高压外科治疗中的应用效果。方法2006年6月～2008年8月,外科治疗先天性心脏病合并重度肺动脉高压共112例,男68例,女44例,年龄50d～36岁,体重4～55kg。经皮血氧饱和度及股动脉血氧饱和度均90%以上,其中95%以下8例。彩色多普勒瓣膜返流法估测,均为重度肺动脉高压。术中矫治先天性畸形并恢复卵圆孔的单向右向左分流的活瓣功能。结果全组无死亡,无肺动脉高压危象或心力衰竭发生;42例术后早期有一过性血氧下降,但心率血压保持稳定。随访1～26个月无死亡病例,6例偶觉胸闷、心悸,持续服降肺动脉压药物治疗;余无特殊并发症。结论单向开放卵圆孔技术的应用能大大降低先天性心脏病合并重度肺动脉高压外科治疗术后的风险。Objective To investigate the efficacy of unidirectional opening of oval foramen using in surgical correction of congenital heart disease with severe pulmonary hypertension. Methods From June 2006 to August 2008,112 cases of congenital heart disease with severe pulmonary hypertension,whose age ranged from 50 days to 36 years and whose weight ranged from 4.0 to 55 kilograms, underwent surgical correction. Transcutaneous and femoral oxygen saturation were all above 90% and 8 cases＇ under 95%. All cases had severe pulmonary hypertension by estimation of color Doppler. Results No case died. No pulmonary hypertension crises or heart failure occurred. 42 cases of transient decline of oxygen saturation occured in early stage,while the heart rate and blood pressure remained stable. No other severe complications occurred except 6 cases taking medicine for chest distress and palpitation in following up 1 to 26 months. Conclusion Unidirectional opening of oval foramen can greatly reduce postoperative crisis in surgical correction of congenital heart disease with severe pulmonary hypertension.

关 键 词：先天性缺损 肺动脉高压 卵圆孔 单向 

分 类 号：R654[医药卫生—外科学]