经皮肺动脉瓣成形术治疗低体质量肺动脉瓣狭窄患儿一例  

A report of one low-weight child with pulmonary valve stenosis undergoing percutaneous ballon pulmonary valvuloplasty

作　　者：李坤[1] 谌启辉[1] 王平凡[1] 李文[1] 李玉珍[1] 闫丽伟[1] 白希玲[1] 贾湘杰 吴振宇[1] 宋峥[1] Li Kun;Shen Qihui;Wang Pingfan;Li Wen;Li Yuzhen;Yart Liwei;Bai Xiling;Jia Xiangjie;Wu Zhenyu;Song Zheng(Department of Pediatric Heart Center,Henan Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院小儿心脏中心,郑州450000

出　　处：《中国实用医刊》2019年第21期122-122,F0003,F0004,共3页Chinese Journal of Practical Medicine

摘　　要：目的总结低体质量肺动脉瓣狭窄患儿采用经皮肺动脉瓣成形术治疗的临床经验.方法回顾性分析2019年4月于河南省胸科医院行经皮球囊肺动脉瓣成形术治疗的1例低体质量肺动脉瓣狭窄患儿的临床经验,术中采用右股静脉穿刺.结果术后即刻患儿肺动脉瓣跨瓣压差为24 mmHg(1 mmHg=0.133 kPa),无球囊扩张相关并发症.术后呼吸机应用8 h,入重症监护室时间34 h,术后第9天顺利出院.结论经皮肺动脉瓣球囊扩张术治疗低体质量患儿重度肺动脉瓣狭窄安全、有效.Objective To summarize experience of percutaneous ballon pulmonary valvuloplasty in the treatment of a low-weight pulmonary valce stenosis children.Methods The clinical experience of percutaneous balloon pulmonary valvuloplasty in one child with low-weight pulmonary stenosis from Henan Chest Hospital in April 2019 was retrospectively analyzed.Right femoral vein puncture was used during the operation.Results The pulmonary valve pressure difference was 24 mmHg(1 mmHg=0.133 kPa)immediately after operation,and no complications related to balloon dilation were found.The ventilation time was 8 hours,the days of intencive care union was 34 hours.The child was successfully discharged 9 days after operation.Conclusions Percutaneous ballon pulmonary valvuloplasty lias the advantages of effectivity and safety in treating pulmonary valve stenosis for low weight infants.

关 键 词：肺动脉瓣狭窄 经皮球囊肺动脉瓣成形术 低体质量 

分 类 号：R726.5[医药卫生—儿科]