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儿童先天性冠状动脉瘘外科治疗5例 被引量:3

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摘要 目的:探讨手术治疗儿童先天性冠状动脉瘘的经验和体会。方法对2008年2月至2011年8月5例冠状动脉瘘患者的临床资料进行回顾性分析,其中男3例,女2例;年龄1.5~11岁。4例在体外循环心停跳下行手术瘘口修补术(3例直接缝合,瘘管内径大小分别为3 mm,2 mm,1.5 mm,3 mm,6 mm。1例心包补片连续缝合);1例在非体外循环下施行末端瘘管结扎术。对合并心脏畸形予以矫治。结果瘘口发生于右冠状动脉2例,左冠状动脉3例。瘘入右心房3例,多发瘘口1例,瘘入右心室2例。所有病例病变冠脉扩张明显,平均扩张内径约8.7 mm。无一例术后残余瘘。随访1个月至3年,效果良好。复查心脏彩超、心电图均未见异常。结论先天性冠状动脉瘘手术治疗是一种效果确切的治疗方法,儿童期甚至幼儿期积极有效的手术治疗对减少远期并发症(心肌梗塞、血栓形成、动脉瘤破裂等)和提高生活质量意义重大。
出处 《临床小儿外科杂志》 CAS 2014年第2期169-170,共2页 Journal of Clinical Pediatric Surgery
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参考文献6

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二级参考文献16

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