成人先天性心脏病的外科治疗  

Surgical treatment for adult congenital heart disease

作　　者：李纪文[1] 顾瑞华[1] 李荣庆[1] 郑广均[1] 

机构地区：[1]天津医科大学第二医院心胸外科,天津300211

出　　处：《天津医科大学学报》2002年第1期67-69,共3页Journal of Tianjin Medical University

摘　　要：目的 :总结成人先天性心脏病外科治疗的经验。方法 :52例成人先天性心脏病患者 ,年龄18岁至65岁 ,平均41岁。其中房间隔缺损 (ASD)22例 ,室间隔缺损 (VSD)19例 ,动脉导管未闭 (PDA)8例。VSD合并PDA1例 ,单纯性肺动脉狭窄 (PS)2例。均行外科手术治疗。结果 :52例成人先天性心脏病患者术后死亡2例 ,其余50例痊愈出院 ,心功能明显改善。结论 :手术适应症的选择 ,合理的手术方式及合并症的处理是成人先天性心脏病手术成功的关键。Objective: To summarize the experience of surgical treatment for adult congenital heart disease.Methods: Fifty two adult patients with congenital heart disease, Aged 18 to 65 years (mean 41 year-old)were undergone surgical treatment. Thereinto ASD 22 cases, VSD 19 Cases, PDA 8 cases, VSD with PDA 1 case, Simple PS 2 cases.Results: Fifty two patients were all undergone operations, there were two hospital deaths.Results showed that surgical treatment could improve patients' heart function.Conclusion: Choice of surgical indications, way of operation, and treatment of complications play a key role in the surgical treatment for adult congenital heart disease.

关 键 词：成人先天性心脏病 治疗 肺动脉高压 外科手术 

分 类 号：R654.2[医药卫生—外科学]