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小儿多发室间隔缺损临床分析 被引量:6

Clinical analysis of the children with multiple ventricular septal defects
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摘要 目的 总结小儿单纯性多发室间隔缺损外科治疗的经验教训 ,以提高对本病的诊治水平。 方法 回顾性分析 2 1例多发性室间隔缺损患儿的临床诊治资料。 结果 本组患儿诊断准确率 95 2 % ,病死率 9 5 % ,无残余漏发生。 2例术后早期出现Ⅲ度房室传导阻滞。 结论 小儿多发肌部室间隔缺损 ,行手术矫治疗效满意 ;术前详细的心脏彩色血流图检查和术中仔细探察 ,对于提高本病诊断准确率 ,防止手术后残余漏至关重要。 Objective To review the experiences in surgical management and diagnosis for the childen with multiple ventricular septal defects (VSDs). Methods The clinical data of 21 childen with multiple VSDs (8 males, 13 females) were analysed retrospectively. Multiple muscle defects in all patients were repaired by left ventricle incision and their near future clinical outcome was investigated. Results The accuracy of diagnosis was 95 2% and the mortality was 9 5%. No residual shunts were found. Complete atrioventricular block was found early in 2 patients postoperation. Conclusions The operative outcome of children with multiple VSDs is satisfied. For these patients detailed preoperative color flow mapping and careful observation during operation are essential to increase the accuracy of diagnosis and prevention of residual shunts.
出处 《中华外科杂志》 CAS CSCD 北大核心 2002年第3期198-200,共3页 Chinese Journal of Surgery
关键词 多发性室间隔缺损 儿童 心脏外科手术 Heart septal defects, ventricular Child Cardiac surgical procedures
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参考文献5

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同被引文献31

  • 1胡盛寿,李守军,张浩,孙寒松,沈向东,王浩,蒋世良.杂交(hybrid)手术在复杂性先天性心脏病治疗中的初步应用[J].中国微创外科杂志,2005,5(12):976-977. 被引量:15
  • 2陈会文,刘锦纷,张海波,苏肇伉,徐志伟,丁文祥.肌部室间隔缺损类型与外科纠治方法探讨[J].临床儿科杂志,2005,23(12):845-847. 被引量:13
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  • 5Liu JC, Zhang JZ, Li Q, et al. Is left ventrieulotomy feasible for muscular ventricular septal defects in infants? [J]. Heart Surg Forum, 2008, 11(2):E78-81.
  • 6Kirklin JK, Castaneda AR, Keane JF, etal. Surgical management of multiple ventrieular septal defects[J]. J Thorac Cardiovasc Surg, 1980, 80(2) :485-493.
  • 7Gan C, Lin K, An Q, et al. Perventricular device closure of muscular ventricular septal defects on beating hearts: Initial experience in eight ehildren[J]. Thorac Cardiovasc Surg, 2009, 137(4) :929-33.
  • 8Hyungtae Kiml, Young - seok Lee, Kwon - jae Park, et al, Sandwich patch technique to repair multiple trabecular ventricu- lar septal defects'a case report [ J ]. Kardiol Pol, 2010, 68:183 - 185.
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