高原地区经导管封堵治疗先天性心脏病的并发症及防治

Prevention and management of complications of interventinal threrapy for congenital heart desease patients in highland

目的:探讨高原地区经导管介入治疗先天性心脏病并发症及其防治。方法:对968例3种常见先天性心脏病患者施行了介入治疗,其中动脉导管(PDA)封堵组586例,房间隔缺损(ASD)封堵组340例,室间隔缺损(VSD)封堵组42例,统计分析所有患者术中及术后发生的并发症,并对并发症的处理进行总结。结果:手术成功率98%,无死亡病例,严重并发症发生率1.55%(15/968),其中PDA封堵组1.0%(6/586),ASD封堵组1.8%(6/340),VSD封堵组7.1%(3/42)。术中或术后一过性及短期并发症发生率0.62%(6/968),其中PDA封堵术组0.34%(2/586),ASD封堵组0.9%(3/340),VSD封堵组2.4%(1/42)。结论:高原地区介入治疗具有操作简便易行、创伤小、风险小、安全可靠、技术成功率高、住院时间短等优点。

Objective： To explore the treatment and preventions of complications by interventional threrapy for congenital heart disease in the high altitude. Method： Interventionai procedures of congenital heart disease were performed in 968 cases （650 males and 330 females）. Among them, 586 cases were patent ductus artery（PDA）;340 aerial septal defect（ASD）; 41 ventricular septal defact（VSD）. The complications and therapy were reviewed. Result：The technique success rate was 98%. There were no death found in the research. The overall severe complication rate was 1.75 % （15/968） while the overall light complication was 0.62 % （6/968）, Conclusion： Interventional treatment is an effective, simple, safe and first choice technique for the treatment of congenital heart disease.