肺动脉吊带的临床治疗经验并文献复习  

Experience in clinical treatment of pulmonary artery sling and literature review

作　　者：刘扬[1] 刘爱军[1] 许耀强[1] 李刚[1] 张晶[1] 苏俊武[1] 范祥明[1] 刘迎龙[1] 

机构地区：[1]首都医科大学附属北京安贞医院小儿心脏中心北京市心肺血管疾病研究所,100029

出　　处：《中国医药》2017年第12期1801-1804,共4页China Medicine

基　　金：国家自然科学基金（81371443）;北京市自然科学基金（7152045）

摘　　要：目的结合文献总结肺动脉吊带的临床治疗经验。方法纳入首都医科大学附属北京安贞医院／J,）L心脏中心2009年8月至2016年10月收治的17例肺动脉吊带患者，回顾性分析其临床资料，包括体外循环时间、带管时间、二次气管插管情况、重症监护时间及预后情况。结果17例患者中男6例、女11例。入院均行手术治疗，手术均成功。手术体外循环时间34～157min、中位时间83（71，108）min；术后带管时间4～151h、中位时间23（11，73）h；重症监护病房停留时间1～10d、中位时间3（2，7）d；二次气管插管3例（17．6％）。最终本院内死亡1例（0．58％），2例因二次气管插管难以脱离呼吸机而转院治疗，随访其中1例死亡，1例痊愈；其余患者均康复出院。结论肺动脉吊带手术治疗是安全、有效的，合并气管狭窄及程度是肺动脉吊带治疗及预后的关键。Objective To summary the experience in clinical treatment of congenital pulmonary artery sling combined with relevant literatures. Methods Seventeen cases of children with pulmonary artery sling who were operated in Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University from August 2009 to October 2016 were analyzed retrospectively. Clinical information including eardiopulmonary bypass time, endotracheal intubation indwelling time, secondary endotracheal intubation, Intensive Care Unit stay time and prognosis of patients were analyzed. Results There were 6 males and 11 females; all children successfully completed operation. Cardiopulmonary bypass time ranged from 34 to 157 min; the median cardiopulmonary bypass time was 83 （71,108）min. Postoperative intubation indwelling time ranged from 4 to 151 h; the median intubation indwelling time was 23（ 11,73）h. Intensive Care Unit stay time ranged from 1 to 10 d, the median Intensive Care Unit stay time was 3 （2,7）d. Three children（ 17.6% ） had secondary endotracheal intubation. One case（ 0. 58% ） died in hospital. Two cases could not wean from ventilator; one died and the other recovered. Conclusion Pulmonary artery sling surgery is safe and effective ; tracheal stenosis is critical to the prognosis of pulmonary artery sling.

关 键 词：肺动脉吊带 气管狭窄 

分 类 号：R543[医药卫生—心血管疾病]