深低温低流量体外循环下动脉导管未闭手术的评价

Value of the Operation for Closure of Patent Ductus Arteriosus under Cardiopulmonary Bypass with Deep Hypothermia and Low Perfusion Flow

关于重症复杂型动脉导管未闭(PDA)是否应在深低温低流量体外循环下行闭合手术,尚有争议。国内虽未见关于对此种术式有争议的正式报道,但在几次会议上曾经引起争论。本文结合我院1984.9～1990.8月在体外循环下所行21例PDA闭合术,就此种术式的实用价值进行讨论。

Controversy exists over the operation for closure of complicated patent ductus arteriosus (PDA) under cardiopulmonary bypass (CPB) with deep hypothermia and low perfusion flow. Though there is no dispute article published on the operation in china, a different opinion was once expressed at several meetings on special topic. From September 1984 to June 1990,21 patients with complicated PDA have undergone the operation under CPB. This paper discusses the use value on the operation according to our experience. We believe that this type of operation is useful for complicated PDA,but risk and complication may arise from the operation. The indication for the operation should be choosed strictly and carefully.