经肺动脉切口直视缝闭未闭动脉导管  

CLOSURE OF PATENT DUCTUS ARTERIOSUS UNDER DIRECT VISION BY TRANSPULMONARY ARTERIOTOMY

作　　者：陈中元[1] 朱洪生[1] 张志樑[1] 黄国长[1] 梁保罗[1] 王一山[1] 

机构地区：[1]上海第二医科大学附属仁济医院胸心外科

出　　处：《上海医学》1993年第1期8-10,共3页Shanghai Medical Journal

摘　　要：本文报告从1987年9月至1991年12月间在体外循环下直接缝闭动脉导管未闭(PDA)24例的体会。在24例中,合并其他心内畸形16例,肺动脉高压11例。在低温低流量转流下,经肺动脉切口缝闭动脉导管。本组手术早期死亡1例,死于与人工瓣膜有关的弥散性血管内凝血。手术要点为:转流后尽早切开肺动脉,在其腔内用手指堵住导管开口,保证有效的左心引流,缝闭导管时持续低流量灌注,不停循环,心内吸引避免深入到动脉导管内防止体循环气栓。18例获随访,随访期4个月至55个月,无远期死亡。本手术方法对难度大的 PDA 或 PDA 伴有其他心内畸形者是一种比较安全的外科治疗方法。Twenty-four patients with PDA were operated by suture through transpulmonary arterial incision under cardiopulmonary bypass with hypothermia from September 1985 through De- cember 1991.Sixteen cases were associated with other intracardiac anomalies; 11 cases with pulmonary hypertention.The early operative mortality was 4.2%.Follow-up study in 18 cases from 4 to 55 month after operation showed satisfactory results without late death.

关 键 词：动脉导管未闭 体外循环 手术 

分 类 号：R654[医药卫生—外科学]