双向腔肺分流术的临床应用及探讨  

Clinical application and investigation for bidirectional Glenn shunt in treatment of congenital heart diseases

作　　者：龚琪[1] 林薇[1] 王哲[1] 徐振海[1] 谈玲玲[1] 吕会来[1] 

机构地区：[1]河北医科大学第四医院胸心内科,石家庄市050011

出　　处：《河北医药》2009年第15期1876-1877,共2页Hebei Medical Journal

摘　　要：目的总结探讨复杂先心病行双向腔肺手术的临床经验。方法选择我院行双向腔肺分流术治疗的患者24例,术前患者血氧饱和度0.71±0.07,术中肺动脉压力(14±4)mmHg,术中不关闭肺动脉,其中11例在体外循环下施行。结果全组无死亡,术后肺动脉压力(17±5)mmHg,出院前血氧饱和度0.90±0.08,术后乳糜胸2例,室上性心动过速2例,无其他恶性心律失常、血栓形成和脑部并发症等并发症,随访心脏超声示吻合口通畅。结论对于某些难以一期根治的复杂先心病患者,采用双向腔肺分流术安全、有效。Objective To investigate the clinical experiences in the treatment of complex congenital heart diseases by bidirection Glenn shunt.Methods From March 2004 to August 2008,24 patients with complex congenital diseases underwent bidirection Glenn shunt.The patients preoperative SatO2 was 0.71±0.07 and the pulmonary pressure measured during operation was（13.8±3.8）mm Hg.Among 24 patients,the CPB was performed in 11 patients.Results There was no death case in all the patients.After the operation the pulmonary pressure was （ 16.8 ± 4.6） mmHg and SatO2 was （0.90 ± 0. 08） before discharge. 2 cases were complicated with chylethorax and other 2 cases had tachycardia. There were no complications like severe arrhythmia, thrombosis and cerebral problems in these patients, and cardiac uhrasoundexamination during follow-up showed that the stoma was unobstructed. Conclusion Bidirection Glenn shunt is a safe and effective technique for complex congenital heart diseases which are difficult to be treated by one - stage radical operations.

关 键 词：先天性心脏病 心脏外科手术 双向腔肺分流术 

分 类 号：R654.32[医药卫生—外科学]