介入封堵治疗低体重婴儿动脉导管未闭的安全性及有效性观察  

Interventional treatment of low birth weight infants with patent ductus arteriosus：the safety and effectiveness

作　　者：杨舟[1] 陈智[1] 向金星[1] 王野峰[1] 曾闵[1] 

机构地区：[1]湖南省儿童医院心血管内科,湖南长沙410007

出　　处：《家庭心理医生》2014年第6期42-43,共2页Family Therapist

摘　　要：目的：探讨介入封堵治疗低体重婴儿PDA的安全性及有效性。方法：回顾性分析11例肺炎迁延难愈且心力衰竭低体重PDA患儿的临床资料，着重分析手术的必要性、临床疗效和随访结果。结果：11例患儿均封堵成功，封堵后肺动脉压力降至正常，心功能改善，肺炎治愈，无血管破裂、心包填塞、恶性心律失常、主动脉及肺动脉狭窄、溶血、封堵处残余分流、封堵器移位及脱落等严重并发症。结论：时于经内科保守治疗呼吸道感染无明显改善、心力衰竭无法有效控制、形成肺动脉高压的低体重PDA婴儿，早期介入封堵治疗是安全及有效的。Objective.. Explore the safety and efficacy of interventional treatment of low birth weight infants with patent ductus ar- teriosus（PDA）. Methods： A retrospective analysis of the clinical data of 11 cases of low birth weight children with PDA. Results： 11 cases of patients were successfully occluded. After occlusion the pulmonary artery pressure decreased to normal. It also improved the heart function and outcomes of pneumonia. Without blood vessels rupture, cardiac tamponade, malignant arrhythmia, aortic and pul- monary stenosis, hemolysis, residual shunt ,occluder displacement and other serious complications. Conclusion： Early interventional therapy in low birth weight infants with PDA is safe and effective.

关 键 词：低体重 动脉导管未闭 封堵 

分 类 号：R473.6[医药卫生—护理学]