婴幼儿心脏移植1例报告  

Heart Transplantation in Infant-a Report of 1 Case

作　　者：孙培吾[1] 张希[1] 陈国桢[2] 罗红鹤[1] 徐颖琦[1] 吴钟凯[1] 钟佛添[1] 唐白云[1] 童萃文[1] 

机构地区：[1]中山医科大学附属第一医院心胸外科,广东广州510080 [2]中山医科大学附属第一医院心儿科,广东广州510080

出　　处：《中山医科大学学报》2001年第4期261-263,282,共4页Academic Journal of Sun Yat-sen University of Medical Sciences

摘　　要：【目的】报告 1例左心发育不全综合征 5 2d婴幼儿进行原位心脏移植的临床经验。【方法】体外循环深低温停循环切除病心 ,主动脉弓成形术 ,原位心脏移植。【结果】原位心脏移植术毕恢复循环心脏自动复跳 ,顺利脱离体外循环机 ,术后10h术儿因急性排斥反应、严重低心排、肾衰而死亡。【结论】婴幼儿原位心脏移植对于复杂性先天性心脏病是一种可行的治疗方法 ,预防排斥反应是手术成功的重要环节之一。Objective To introduce the experience of heart transplantation in a 52 days old infant with hypoplastic left heart syndrome(HLHS). Methods Aortic reconstruction and orthotopic heart transplantation were performed by hypothermic circulation arrest. Results The heart rebeated after orthotopic heart transplantation and waived cardiopulmonary bypass, but the infant died of hyperacute rejection ten hours postoperation. Conclusion Heart transplantation procedure is acceptable for the complex congenital heart disease. Preventing rejection is critical to successful heart transplantation.

关 键 词：左心发育不全综合片 心脏移植 婴幼儿 外科手术 病例报告 

分 类 号：R726.542[医药卫生—儿科] R654.2[医药卫生—临床医学]