婴幼儿房、室间隔缺损的外科治疗

Surgical treatment of ventricular or atrial septal defect in infant and young children

目的 :探讨婴幼儿房、室间隔缺损 (ASD、VSD)的外科治疗经验。方法 :对 1994- 0 1～ 2 0 0 0 - 12接受体外循环心内直视手术治疗的 45例婴幼儿房、室间隔缺损病例进行回顾性分析。结果 :婴幼儿房、室间隔缺损者常反复呼吸道感染 ,早期出现心衰及肺动脉高压。本组手术死亡 1例 ,死亡率 2 .2 %(1/ 45 ) ,无晚期死亡。结论 :婴幼儿房、室间隔缺损合并肺动脉高压者应尽早手术 ,围手术期应加强心功能支持保护 ,呼吸道管理。

Objective:To probe the experience of surgical treatment of ventricular septal defect(VSD)or atrial sepatal defect(ASD) in infant and young children.Methods:45 patients with VSD or ASD underwent surgical management from Jan.1994 to Dec.2000.The mean bodyweight of patients at the time of operation was 11.2 kg. Results:Respiratory tract infection occurred repeatedly in infant and young children with VSD or ASD,heart failure and pulmonary hypertension usually appeared in the early stage.The hospital mortality was 2.2%(1/45).The cause of death was heart failure.Conclusion:Surgical treatment of VSD or ASD with pulmonary hypertension in infants and young children should be performed as soon as possible.Perioperative management is an important factor influencing surgical outcome.