婴儿大型室间隔缺损并发肺炎和呼吸衰竭的早期手术治疗

Early repair in infants with large ventricular septal defects,pneumonia and respiratory failure

目的探讨婴儿大型室间隔缺损(VSD)并发肺炎和呼吸衰竭早期手术治疗的可行性、手术时机和适应证以及术中和术后处理.方法1999年10月～2004年1月,我院收治大型VSD并发肺炎和呼吸衰竭29例婴儿,19例进行带机早期手术治疗,10例行内科保守治疗.结果手术病例中,18例婴儿手术成功、脱离呼吸机出院,术后主要并发症有肺不张、气胸、气管再插管,无全身感染、肺动脉高压危象以及严重低心排病例;1例婴儿死于气管狭窄,病死率5.3%.内科保守治疗病例中,8例在治疗途中因心肺衰竭死亡,病死率80%;2例好转撤离呼吸机出院.结论把握手术时机和适应证,防治术中和术后肺损伤,带机早期手术治疗可提高和改善大型VSD并发肺炎和呼吸衰竭婴儿治疗效果和预后.

Objective This paper reviews the results of early repair in infants with large ventricular septal defects, pneumonia and respiratory failure. Methods This paper reviews the results of early repair in infants with large ventricular septal defects, pneumonia and respiratory failure. Results This paper reviews the results of early repair in infants with large ventricular septal defects, pneumonia and respiratory failure. Conclusions Early repair can improve the results and prognosis of the infant suffering from large ventricular septal defects ,pneumonia and respiratory failure.