先天性心脏病合并心外畸形同期手术效果分析  

Effect of one stage repair of congenital heart disease combined with extracardiac malformations

作　　者：王双兴 李诗兰 张伟 张辉[1] Wang Shuangxing;Li Shilan;Zhang Wei;Zhang Hui(Department of Cardiac Surgery,Children's Hospital Affiliated to the Capital Institute of Paediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院心脏外科,北京100020

出　　处：《中国体外循环杂志》2021年第1期38-41,共4页Chinese Journal of Extracorporeal Circulation

基　　金：北京市医院管理局临床医学发展专项经费资助(XMLX201712);北京市医院管理中心儿科学科协同发展中心专项经费资助(XTZD20180301)。

摘　　要：目的探讨先天性心脏病(CHD)合并心外畸形同期手术效果。方法收集2015年5月至2019年9月间,在本院心脏外科收治的CHD合并心外畸形同期手术及单纯CHD手术患儿临床资料各31例,回顾性分析同期手术治疗效果。结果(1)两组患儿一般资料无明显差异;(2)对照组麻醉时间、手术时间较实验组缩短(P<0.05),但两组体外循环时间、主动脉阻断时间、术中出血量、术后24 h血糖、乳酸、血管活性药物评分、气管插管时间、重症监护时间及住院时间无明显差异;(3)两组患儿术后无明显并发症,均治愈出院。结论同期手术是治疗CHD合并心外畸形的安全可行、有效的临床方案。Objective To explore the effect of one stage repair of congenital heart disease(CHD)combined with extracardiac malformations.Methods From May 2015 to September 2019,the clinical data of 31 children with CHD combined with extracardiac malformations underwent one stage repair(experimental group)and 31 children with simple CHD(control group)were collected and analyzed retrospectively in our hospital.Results There were no statistical differences in general information between the two groups.Anesthesia time and operation time in the control group were significantly shorter than those in the experimental group(P<0.05),however,there were no significant differences in extracorporeal circulation time,aortic cross-clamping time,intraoperative blood loss,postoperative blood glucose,lactic acid,vasoactive drug score,tracheal intubation time,ICU stay and hospitalization time between the two groups.All 62 patients were cured and discharged without complications.Conclusion One stage repair is a safe,feasible and effective clinical scheme for the treatment of CHD combined with extracardiac malformations.

关 键 词：先天性心脏病 心外畸形 同期手术 体外循环 

分 类 号：R726.5[医药卫生—儿科]