婴儿期室间隔缺损外科治疗  

Surgical Treatment of Ventricular Septal Defect in Infants

作　　者：朱雄凯[1] 胡劲[1] 薛品荣[1] 张泽伟[1] 李建华[1] 林茹[1] 

机构地区：[1]浙江医科大学附属儿童医院

出　　处：《中华胸心血管外科杂志》1998年第1期1-3,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：报告婴儿期室间隔缺损修补术８１例，手术死亡率３．７０％，术后并发症发生率１８．５２％，无后遗症发生。结论：室间隔缺损婴儿发生难治性心衰者应早期手术，围术期的心肌保护和呼吸管理是手术成功的关键。Aim:To review the experience of surgical treatment of ventricular septal defect in infants.Clinical material and Method:Eighty-one patients with ventricular septal defect underwent surgical repair under extracorporeal circulation from January 1987 to May 1996.There were 59 males and 22 females with a mean age of 8.39 months.The mean bodyweight of patients at the time of operation was 6.39kg.50 patients had pulmonary hypertension before operation.Other associated heart abnormalities included atrial septal defect in 7,patent ductus arteriosus in 6 and anomalous of the inferior vena cava in 1.Result:The hospital mortality rate was 3.7% (3/81).The causes of death were heart failure in 2 and respiratory insufficiency in 1.The postoperative morbidity rate was18.5%.Conclusion:Surgical treatment of ventricular septal defect in infants should be performed as earlier as possible to treat continued uncontrollable cardiac failure.Perioperative management is an important factor influencing surgical outcome.

关 键 词：室间隔缺损 转术期 心肌保护 外科手术 

分 类 号：R654.205[医药卫生—外科学]