成人房间隔缺损外科治疗疗效分析

目的总结成年人房间隔缺损的手术治疗经验。方法选取48例22岁以上继发性房间隔缺损患者,年龄22～65岁,其中男15例,女33例,合并肺动脉高压14例,心律失常28例房缺修补采用直接连续缝合或补片修补。结果全组48例无手术死亡,随访半年以上心功能较术前均有明显改善。结论成人房间隔缺损应尽早手术,采用补片修补时,自体心包为首选。围手术期肺动脉高压以及合并症的正确处理是手术成功的关键。

Subject Summarize the experience of surgical treatment of adult atrial septal defect （ASD）.Methods Forty-eight patients which were aged 22-65 years old with secondary atrial septal defect were enrolled in this study.The population was composed by 15 male and 33 female cases,and in which 20 patients were complicated with pulmonary hypertension and 28 patients were complicated with arrhythmia.All the patients with ASD were treated by direct continuous saturation or patch.Results There is no one died from surgery.The cardiac function of patients were all improved after the 6 months follow-up.Conclusion Surgery should be done as early as possible in the adult ASD patients.Autologous pericardium is the best choose for patch.The key toachieve the successful surgery is appropriate handling on pulmonary hypertension and the other complications in the peroperative period.