先天性主动脉弓病变合并心内畸形新生儿期手术的临床分析  

Clinical analysis of congenital aortic arch lesions combined with cardiac malformation in neonatal period

作　　者：朱晓丽[1] 谷疆蓉[1] 王建明[1] 陶曙光[1] 杨帆[1] 姚俊平[1] 张雪杰[1] 韩喆[1] 姚洁[1] 张振影 ZHU Xiaoli;GU Jiangrong;WANG Jianming;TAO Shuguang;YANG Fan;YAO Junping;ZHANG Xuejie;HAN Zhe;YAO Jie;ZHANG Zhenying(Department of Cardiac Surgery, Children＇ s Hospital of Hebei Prov- ince, Shijiazhuang 050031, Chin)

机构地区：[1]河北省儿童医院心外科,050031

出　　处：《心肺血管病杂志》2018年第3期214-217,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探索先天性主动脉弓病变合并心内畸形新生儿期手术的治疗策略。方法:回顾性分析我院2013年1月1日至2016年12月31日,先天性主动脉弓病变合并心内畸形21例新生儿期手术的临床资料,其中男性11例,女性10例;年龄7~28d,平均天数(13±5)d;体质量2.1~5.5kg,平均体质量(3.5±1.2)kg。其中18例为一次性根治;3例为其他手术方式。结果:主动脉弓病变合并心内畸形21例新生儿中,19例成功治愈出院。手术成功率90.5%,治疗效果较显著。结论:个体化治疗方案,可以有效提高主动脉弓病变合并心内畸形的新生儿的治疗成功率。Objective： To evaluate treatment strategy of aortic arch lesions associated with intracardiac malformations in neonatal period. Methods： In 21 cases of neonate with Aortic arch lesions associated with cardiac anomalies was from January 2013 to June 2016 in this hospital, male 11 cases,female 10 cases; age7 days-28 days; weight 2. 1-5. 5 kg. They get individualized treatment. Results： In 21 patients,19 cases were successful. The success rate of 90. 5%. On a follow up of 6-48 months was normal. Operation success rate was90. 5%,and the curative effect was more significant. Conclusion： the reasonable and individualized treatment in neonatal Aortic arch lesions associated with cardiac anomalies can effectively improve the success rate of treatment of the disease.

关 键 词：先天性主动脉弓病变 心内畸形 新生儿期手术 个体化治疗 

分 类 号：R54[医药卫生—心血管疾病]