婴幼儿先天性心脏病268例外科治疗分析

Analysis of the surgical treatment for congenital heart disease in 268 infants

目的总结婴幼儿先天性心脏病的外科治疗经验。方法回顾性分析2006年7月至2009年8月间268例（男141例，女127例）婴幼儿先天性心脏病外科手术临床资料。根治性手术260例；姑息性手术8例。结果全组262例痊愈出院。手术死亡6例，死亡率2．2％。1岁以内死亡率2．96％（4／135）。术后并发症发生率5．2％（14／268）。随访1～36个月，无死亡，患儿生长发育良好。结论外科治疗婴幼儿先天性心脏病可以取得满意的疗效，正确选择手术适应证、手术时机，符合婴幼儿生理特点的围术期处理是手术成功的关键。

Objective To review the clinical experience of the surgical treatment of congenital heart disease （CHD） in infants. Methods From July 2006 to Aug. 2009,268 infants （ 141 males, 127 females） were subjected to surgical operations for CHD. Their ages ranged from 1 to 36 months （17.21 ±9.41 months）,including 53 cases less than 6 months,and 82 cases between 7 to 12 months. Their body weight ranged from 3.2 to 15 kg （9.12 ±2.45 kg） ,including 172 cases were less than 10 kg. 260 patients underwent one -stage radical operation, and the rest 8 cases underwent palliative approach. Results 262 cases were recovered. There were 6 deaths, with operative mortality of 2.2% （ 6/268 ） in all infants. Less than 12 months old, operative mortality was 2.96% （4/135）. Fourteen cases had early complications （5.2%）. All infants were followed up for 1 -36 months, and there were no deaths. All in- fants grew up well. Conclusion The satisfactory result can be acquired in infantile operation of CHD. The operation successful keys are the choice of proper operation way and time. Postoperative intensive care is also important.