室间隔缺损合并重度肺动脉高压的外科手术治疗策略

Operation Strategy for Ventricular Septal Defect with Severe Pulmonary Hypertension

探讨室间隔缺损伴重度肺动脉高压患者手术指征的判断标准和围术期的治疗策略。11例室间隔缺损伴重度肺动脉高压患者,在体外循环下行室间隔缺损修补术,围术期给予吸氧、前列腺素E1等降低肺动脉压力的综合治疗。结果11例手术患者全部治愈出院,经随访肺动脉压力有着不同程度的下降。术前全面检查、综合分析以明确手术指征是室间隔缺损合并重度肺动脉高压患者获得满意疗效的根本,其中肺血管纹理是一个最重要的判断指标。

To determine the standard of operative indication and perioperative management for ventricular septal defect （VSD） complicated with severe pulmonary hypertension（PH）. 11 cases of patients of VSD with PH were included in this study. All the patients were treated with corrective surgery. During the perioperation, the therapy of oxygen inhalation, prostaglandin E1 were administrated to reduce the pulmonary pressure. All patients were well recovered without severe complications. The follow-- up showed that the pulmonary pressure was significantly decreased. Satisfactory results can be achieved in treatment of VSD with severe PH in teenagers by comprehensive preoperative examination and preoperative analysis of surgical indications. The marked pulmonary vascular is a simple and most important index.