婴儿期危重先天性心脏病急症外科处理  

Emergency operation on critical congenital heart disease in infants

作　　者：朱雄凯[1] 胡建玲[1] 俞建根[1] 张泽伟[1] 李建华[1] 林茹[1] 舒强[1] 谈林华[1] 

机构地区：[1]浙江大学医学院附属儿童医院心胸外科,杭州310003

出　　处：《中华小儿外科杂志》2002年第5期394-396,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　评估婴儿危重先天性心脏病 (先心病 )急症手术的可行性 ,进一步扩大手术范围并提高治愈率。方法　回顾性总结 1988年 1月～ 2 0 0 1年 11月 34 8例婴儿危重先心病急症外科处理的经验 ,分析各年度婴儿危重先心病比率 ,手术月龄和手术病死率的变化。结果　婴儿危重先心病占总手术数的比率、平均月龄、手术病死率 ,1991年分别为 5 .71% ,(7.2 5± 1.76 )个月 ,9.0 9% ;1995年10 .89% ,(8.6 0± 2 .44 )个月 ,2 3.35 % ;2 0 0 1年 2 3.73% ,(6 .43± 2 .98)个月 ,6 .74%。结论　婴儿危重先心病急症手术数量逐年上升。手术病死率逐年下降。正确、适时修复心内畸形 。Objective To evaluate the feasibility of emergency operation on critical congenital heart disease(CHD) in infants. Methods From January 1988 to November 2001, 348 infants with critical CHD who underwent emergency operation were reviewed retrospectively. The ratio of emergency surgery on critical CHD, age of operation and mortality rate per year were analyzed.Results The rate of emergency operation on critical CHD, mean age of months and mortality were 5.71%, 7.25± 1.76 months and 9.09% in 1991, 10.89%, 8.60± 2.44 months and 23.35% in 1995, 23.73%, 6.43± 2.98 months and 6.74% in 2001 respectively. Conclusions Emergency operation on critical CHD infants and the survival rate are increased steadily year after year. A complete heart defect repair and normal hemodynamics recovery are important measures to rescue infants from critical CHD.

关 键 词：婴儿期 先天性心脏病 急症处理 心血管外科 

分 类 号：R726.5[医药卫生—儿科]