婴幼儿先天性气管狭窄伴复杂先心病的Ⅰ期纠治  

Surgical repair of congenital tracheal stenosis associated with complex congenital heart disease in infants

作　　者：徐志伟[1] 张海波[1] 王顺明 陈玲[1] 史珍英[1] 朱德明[1] 苏肇伉[1] 丁文祥[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心心胸外科,200127

出　　处：《中华小儿外科杂志》2003年第1期15-17,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨婴幼儿先天性气管狭窄伴复杂先心病Ⅰ期纠治的治疗效果。方法　 2例手术年龄分别 1 .5岁和 3岁的先天性气管狭窄伴法洛四联症患儿在体外循环下行气管狭窄纠治和四联症根治术。 1例气管狭窄长约 1 .2cm ,切除气管狭窄段 ,然后端端吻合 ;另 1例气管狭窄长约 6cm ,切除 3cm剪开形成两块补片 ,分别扩大剪开的气管前壁。总扩大气管狭窄段达 6cm。结果　术后恢复良好。随访 6个月～ 1年 ,呼吸平稳 ,CT示气管通畅 ,心脏超声检查无残余分流和梗阻。结论　纠治先天性气管狭窄伴先心病 ,以Ⅰ期手术治疗为好 ,不但术中在体外循环下纠治气管狭窄较安全 。Objective To evaluate results of one stage repair of congenital tracheal stenosis associated with complex congenital heart disease in infants.Methods Two infants with congenital tracheal stenosis associated with Tetralogy of Fallot were operated on at the age of 1.5 and 3 years respectively. In the younger child, the 1.2 ?cm long of tracheal stenosis was excised and anastomosed. The other case with 3?cm in length of stenosis at the mid segment of trachea was excised and repaired with a patch.Results The postoperative progress was uneventful. The patients were followed up for 6 months to 1 year without any complications.Conclusions One stage repair of congenital tracheal stenosis associated with complex congenital heart disease in infants has got satisfactory results. With cardiopulmonary bypass, the operation can be carried out safely.

关 键 词：婴幼儿 先天性气管狭窄 复杂先心病 先天性心脏病 体外循环 治疗 

分 类 号：R726.5[医药卫生—儿科]