35例房缺及室缺合并肺动脉高压病例的外科治疗

Surgical treatment of 35 cases of ASD and VSD incorporate with pulmonary hypertension

目的研究房室缺合并肺动脉高压病例的外科治疗。方法回顾分析我院近年来所做的35例房室缺合并肺动脉高压病人的临床资料,34例均行一期手术修补,其中28例在体外循环下行手术治疗,另有6例房缺病人在体外循环下行手术修补。结果1例病人因严重肺动脉高压失去手术机会,手术组病人术后并发症发生率为11.7%,1例死亡,1例心律失常,1例术后残余漏,1例肺部感染。结论房缺及室缺病人一旦合并有肺动脉高压应尽早手术治疗。充分的术前准备、准确的手术操作以及正确的术后处理是手术成功的关键。

Objective Study surgical treatment of ASD and VSD incorporate with pulmonary hypertension. Methods Retrospectively analyzing 35 examples ASD or VSD incorporate with pulmonary hypertension in recent years. Thirty - four cases were operated one time, in which 28 cases were operated with extracorporeal circulation,6 cases of ASD were operated with collateral circulation. Results One patient missed the operative chance because of serious pulmonary hypertension. The complication＇s incidence was 11.7% in operated patients,in which one died, one with arrhythmia,one with residual leak after operation and one with lung infection. Conclusion The ASD and VSD patients which incorporate with pulmonary hypertension should be operated early. Abundant preparation before operation,exact operation and accurate treatment postoperation are the keys of successful operation.