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重症新生儿先天性心脏病26例急诊手术干预体会

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摘要 目的进一步提高重症新生儿先天性心脏病(CHD)的治疗水平。方法对26例左向右分流伴重度肺动脉高压(PH)CHD患儿行急诊手术干预。3例于气静麻醉下经左胸第四肋间后外侧切口行急诊导管结扎术,另23例均在中低温或深低温低流量CPB下经胸骨正中切口行一期心内修补术。结果手术死亡3例(13%),其中肺动脉高压危象(心力衰竭、低心排)2例,呼吸衰竭(呼衰)1例;余23例均治愈出院。结论对重症新生儿CHD应及时行手术干预,严格掌握手术适应证及手术要点,术中注意心肌保护,有利于降低病死率。
作者 郭海滨 谷兴琳 袁捷 姜子菲 施峥嵘
机构地区 常州市儿童医院 南京市儿童医院
出处 《山东医药》 CAS 北大核心 2009年第51期65-66,共2页 Shandong Medical Journal
关键词 新生儿 左向右分流 肺动脉高压 急诊外科干预
分类号 R726.5 [医药卫生—儿科]
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  • 1Bellinger DC, Wypij D, duDuplessis AJ, et al. Neurodevelopmental status at eight years in children with dextro-transposition of the great arteries: the Boston Circulatory Arrest Trial. J Thorac Cardiovasc Surg, 2003, 126:1385 - 1396.
  • 2Kang N, de Leval MR, Elliott M, et al. Extending the boundaries of the primary arterial switch operation in patients with transposition of the great.arteries and intact ventricular septum. Circulation, 2004,110( 11 Suppl 1 ) :II123- 127.
  • 3Wetter J, Belli E, Sinzobahamvya N, et al. Transposition of the great arteries associated with ventricular septal defect: surgical results and long-term outcome. Eur J Cardiothorac Surg, 2001,20:816 - 823.
  • 4Williams WG, McCrindle BW, Ashbum DA, et al. Outcomes of 829 neonates with complete transposition of the great arteries 12-17 years after repair. Eur J Cartliothorac Surg, 2003,24:1 - 10.
  • 5Williams WG, Quaegebeur JM, Kirklin JW,et al. Outflow obstruction after the arterial switch operation: a multiinstitutional study. Congenital Heart Surgeons Society. J Thorac Cardiovasc Surg, 1997,114:975-990.
  • 6Prifti E, Crucean A, Bonacchi M, et al. Early and long term outcome of the arterial switch operation for transposition of the great arteries: predictors and functional evaluation. Ear J Cardiothorac Surg, 2002,22:864- 873.
  • 7McMahon CJ, el Said HG, Feltes TF, et al. Preoperative identification of coronary arterial anatomy in complete transposition, and outcome after the arterial switch operation. Cardiol Young, 2002,12:240 - 247.
  • 8Kiraly L, Hartyanszky I, Prodan Z. Right ventricle failure and outcome of simple and complex arterial switch operations in neonates. Croat Med J, 2002,43:660-664.
  • 9Emmel M, Sreeram N. Total anomalous pulmonary vein connection: diagnosis, management, and outcome. Curt Treat Options Cardiovasc Med, 2004,6:423-429.
  • 10Michielon G, Di Donato RM, Pasquini L, et al. Total anomalous pulmonary venous connection: long-term appraisal with evolving technical solutions. Eur J Cardiothorac Surg, 2002,22:184- 191.

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山东医药
2009年 第51期

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