婴幼儿主动脉缩窄的手术治疗  

Surgical management for coarctation of aorta in neonates and infants

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作  者:曹辛[1] 洪伟[1] 吴骏[1] 张鸿[1] 高运鹏[1] 陈健[1] 李亚军[1] 

机构地区:[1]昆明市儿童医院外四科,云南昆明650034

出  处:《云南医药》2012年第5期432-433,共2页Medicine and Pharmacy of Yunnan

摘  要:目的总结5例婴幼儿主动脉缩窄手术治疗的体会。方法 5例婴幼儿主动脉缩窄均合并动脉导管未闭和室间隔缺损。手术采用正中切口,在深低温停循环或选择性脑灌注下手术,切除缩窄的主动脉段,行主动脉端端或端侧吻合。结果5例均治愈出院,随访6~20月无不良反应。结论婴幼儿主动脉缩窄手术治疗效果良好。Objective To evaluate the surgical effect of 5 cases with coarctation of aorta in neonates and infants. Methods 5 patients of CoA also had PDA and VSD. With median sternotomy, operational technique for CoA were resection and end to end or end to side anastomosis. Results 5 patients were discharged, the pressure difference between upper and lower limbs disappeared, and followed up 6 - 20 months, no complications occurred. Conclusion Surgical management for CoA has satisfactory effect for neonates and infants.

关 键 词:婴幼儿 主动脉缩窄 手术治疗 

分 类 号:R654.2[医药卫生—外科学]

 

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