新生儿先天性心脏病的外科治疗

Surgical treatment of newborn with congenital heart disease

目的 :总结 12例新生儿先天性心脏病的外科治疗经验。方法 :12例先天性心脏病新生儿 ,年龄 4～ 15d ,体重 2 .5～ 4 .2kg ,其中 ,完全性大动脉转位 (TGA) 4例 ,法乐氏四联症 (TOF) 2例 ,单心室 (SV) 1例 ,完全性房室管畸形 (ECD) 1例 ,肺动脉闭锁 (PAD) 1例 ,右位心三尖瓣闭锁 (TVD) 1例 ,室间隔缺损 (VSD)合并房间隔缺损 (ASD) 2例 ;均在低温体外循环下行一期矫治术。结果 :存活 10例 (83.3% ) ,死亡 2例 (16 .7% )。结论 :新生儿心脏手术麻醉 ,体外循环要平稳 ,手术操作要精细 ,手术成功的关键是畸形纠正满意及良好的心肌和肺保护。

Objective:To review the experience of the surgical treatment of congenital heart diseases in 12 newborns.Method: 12 newborns were operated on for various congenital heart diseases.There were 10 males and 2 females. Their ages ranged from 4 to 15 (mean ages 7.4～2.9) days, the body weights were 2.2～4.5(mean 3.1～1.2)kg.12 newborns were operated on for various cardiac anomalies under hypothermic cardiopulmonary bypass. Result: The operative mortality was 2(16.7%) cases.10(83.3%) cases all alive .Conclusion: The congenital heart disease in newborns should be diagnosed as early as possible. The early surgical intervention is satisfactory. It is important that well protection for myocardial protection and pulmonary.