婴幼儿双主动脉弓的诊断与手术治疗  

Diagnosis and surgical treatment of double aortic arch in infants and young children

作　　者：丁楠[1] 李晓峰[1] 郭健[1] 柏松[1] 宋振江[1] 刘晖[1] 赵宇东[1] 沈磊[1] 郑佳[1] 李奇林[1] 杨阳[1] 

机构地区：[1]首都医科大学附属北京儿童医院心脏外科,100045

出　　处：《中华胸心血管外科杂志》2016年第3期140-142,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：“十二五”国家科技支撑计划项目（2012BA104805）

摘　　要：目的总结双主动脉弓畸形外科治疗经验，提高手术效果。方法回顾性分析2006年5月至2014年1月手术治疗的38例双主动脉弓患儿资料，其中男24例，女14例；年龄1～79个月，平均（14．52±16．95）个月；体质量3．2—15．0kg，平均（8．4±3．2）kg。28例为单纯双主动脉弓畸形，均在胸部外侧切口进行矫治。8例合并室间隔缺损，2例合并法洛四联症，均在正中切口体外循环下进行矫治。结果37例术后积极治疗，均成功撤离呼吸机，无再插管，均治愈出院。1例患儿合并室间隔缺损、动脉导管未闭，因气管狭窄及软化，呼吸困难，不能脱离呼吸机，家长放弃治疗。结论双主动脉弓是一种引起严重呼吸系统感染的疾病，应尽早手术治疗，近、中期效果良好。Objective To introduce the strategy of the treatment of double aortic arch （DAA）. Methods From May 2006 to Jan 2014, 38 patients of DAA underwent surgical correction in our heart center. Male 24, female 14. Aged from 1 month to 79 months, mean （ lg. 52 ± 16.95 ） months, weight from 3.2 kg to 15 kg, mean （ 8.4 ± 3.2） kg. 28 of them were pure DAA who accepted operation through posterolateral incision. 3 of them combined with patent ductus arteriosus. 8 of them combined with ventricle septal defect. 2 of them combined with tetralogy of Fallot. They all accepted operation under CPB through median insicion. Results 37 cases were cured after proper treament and nursing care, 1 cases of parents to give up treatment. Conclusion DAA is an important cause of persistent respiratory symptoms in infants and children, early investiga- tion and surgical treatment means excellent outcomes.

关 键 词：心脏缺损 先天性 双主动脉弓 心脏外科手术 

分 类 号：R725.4[医药卫生—儿科]