新型心包缝合法治疗完全性肺静脉异位引流  

New pericardial suture for repair of total anomalous pulmonary venous connection: early experience

作　　者：金杰[1] 施旭聪 张泽伟[1] 应力阳[1] 高强[1] 马良龙[1] JIN Jie;SHI Xucong;ZHANG Zewei;YING Liyang;GAO Qiang;MA Lianglong(Department of Cardiac Surgery&.Heart Center,The Childern's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou,310052,China)

机构地区：[1]国家儿童健康与疾病临床医学研究中心、浙江大学医学院附属儿童医院心脏中心心脏外科,杭州310052

出　　处：《临床心血管病杂志》2023年第6期424-427,共4页Journal of Clinical Cardiology

基　　金：浙江省医药卫生重大科技计划(No:WKJ-ZJ-1523)。

摘　　要：目的:展示一种新的缝合方法在完全性肺静脉异位引流(TAPVC)手术中的应用效果。方法:本报告研究了14例TAPVC,男8例,女6例。平均年龄为(27.4±15.9) d。心上型12例,心下连接2例。TAPVC的校正在中度低温体外循环下进行,平均CPB时间为(119.0±18.6) min,平均阻断时间(82.5±16.3) min。结果:无术中死亡。手术后无死亡。14例患者均接受了至少3个月的随访,与对照组相比,术后呼吸机使用时间、ICU驻留时间均优于对照组;远期吻合口通畅程度与对照组无明显区别。结论:新的心包缝合法是治疗婴儿TAPVC患者的一种可行、安全且相对有效的方法。To demonstrate the modified surgical treatment of total anomalous pulmonary venous connection(TAPVC). Methods: 14 cases of TAPVC were studied in this report. There were 8 males and 6 females. Mean age is 27.4±15.9 days. 12 patients are supracardiac type, 2 patients are infracardiac connection. Correction of TAPVC was performed under moderate hypothermic cardiopulmonary bypass, mean CPB time is 119.0±18.6 mins, mean arrest time82.5±16.3mins. Results: There is no intraoperative death. No death after surgery. 14 patients were all followed up at least 3 months, compared with the control group, time of postoperative ventilator supporting and ICU staying are shorter than those of the control group. The long-term anastomotic patency is not significantly different from the control group Conclusion: Modified pericardial repair is a feasible, safe, and relatively effective method for treating infant TAPVC patients.

关 键 词：完全性肺静脉异位引流 心包 肺静脉梗阻 

分 类 号：R541.3[医药卫生—心血管疾病]