婴儿先天性心脏病42例外科治疗体会

SURGICAL TREATMENT FOR 42 INFANTS WITH CONGENITAL HEART DISEASE

目的总结作者施行外科手术治疗的42例婴儿先天性心脏病患者的临床资料,探讨婴儿先心病围术期的处理经验。方法2 0 0 2年4月～2 0 0 4年12月共施行婴儿期先心病外科手术42例,其中男2 7例,女15例。年龄2～12个月,平均( 7 6±1 3 )个月,体重4 1～10 5kg ,平均( 8 3±1 6)kg。非紫绀型先心病3 3例,紫绀型先心病9例。体外循环3 9例,非体外循环3例。结果行根治性手术40例,减状手术2例。术后早期死亡3例,死亡率7 1%。其余患儿随访2～3 2个月,效果满意。结论掌握手术时机,注重围术期综合治疗,能明显提高婴儿先心病的临床治愈率。

Objective TO analyze the surgical treatment of 42 infants with Congenital Heart Disease. To sum up the perioperative mangement on Congenital Heart Disease in infants. Methods Between April, 2002 and December, 2004, 42 infants with Congenital Heart Disease were given the operations, 27 males and 15 females, ranging from 2 months to 12 months, with mean age (7.6±1.3) months, and their weight between 4.1 kg to 10.5 kg, with mean weight (8.3±1.6) kg. There were 39 cases of CPB operations, 3 cases of non-CPB operations. 33 cases were non-cyanotic Congenital Heart Disease in infants, and 9 cases were cyanotic Congenital Heart Disease in infants. Results The operation included reparative procedure (n=40), and palliative procedure (n=2). 3 died after operation with a mortality of 7.1%. The others were followed-up from 2 months to 32 months with satisfactory results. Conclusion Accurate choice of indications, strengthening the perioperative treatment can improve curative rate of congenital Heart disease in infants.