新生儿左心发育不良综合征内外科镶嵌I期治疗：附1例报告  

Hybrid stage Ⅰ palliation in neonates with hypoplastic left heart syndrome:a case report

作　　者：刘廷亮[1] 高伟[1] 余志庆 刘锦纷[2] 鲁亚南 

机构地区：[1]上海交通大学医学院附属上海儿童医学中心心内科,上海200127 [2]上海交通大学医学院附属上海儿童医学中心,胸外科上海200127

出　　处：《临床儿科杂志》2014年第4期346-348,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨内外科镶嵌治疗用于新生儿左心发育不良综合征初期治疗的效果。方法回顾性分析1例以内外科镶嵌治疗替代Norwood I期治疗的患儿的临床资料。结果患儿应用介入技术植入动脉导管支架,然后行双侧肺动脉环扎术,未应用心肺转流术,总手术时间105 min,术后11 d出院,术后3个月随访情况平稳。结论内外科镶嵌治疗可取得与传统Norwood I期相似的治疗效果,且能有效避免心肺转流术、减少早期病死率、缩短住院时间。To explore the effect of hybrid approach on the initial management of hypoplastic left heart syndrome （HLHS）. Methods The clinical data of a child with HLHS treated with hybrid approach as an alternative to stage I Norwood procedure were retrospectively analyzed. Results Stenting of the ductus arteriosus and bilateral pulmonary artery banding were performed without cardiopulmonary bypass. The total operation time was 105 minutes. The child was discharged from hospital 11 days af- ter operation and remained stable at a 3-month follow-up. Conclusions The hybrid approach may have similar therapeutic ef- fect with stage I Norwood procedure, meanwhile have an effect in avoiding cardiopulmonary bypass, reducing initial mortality and shortening hospital stays.

关 键 词：左心发育不良综合征 支架 新生儿 

分 类 号：R722.1[医药卫生—儿科]