低月龄低体重先天性心脏病的外科治疗

Surgical treatment for congenital heart disease in low months and low weight infants

合并先天性心脏病（先心病）的低月龄、低体重患儿外科治疗一直是临床治疗的难题。随着心脏外科技术、麻醉、心肌保护和体外技术的不断提高,先心病治疗逐渐趋向低龄化和复杂化[1-3]。近年来,随着心脏外科技术的发展、心肌保护技术和麻醉技术的提高,低月龄、低体重先心病手术例数逐渐增加[1]。

Two hundred twenty-eight cases of age less than 6months or less and weight 10 kg or less with congenital heart disease undergoing surgical repair from October 2010 to April 2014 were analyzed retrospectively in Cardiac Surgery Department,the First Hospital of Hebei Medial University.All the patients received surgical repair under general anesthesia,including 19 patients without cardiopulmonary bypass（CPB）and 209 patients with CPB.A radical procedure was performed in 217 patients,and a palliative surgery was performed in 11 cases.Urgent operations were performed in all patients and no death occurred during surgery.Nine cases died after operation,the death rate was 3.94%.All survival patients were followed up from 3months to 3years.As a result,postoperative cardiac function improved significantly.Surgical repair for low months and low weight infants with congenital heart disease is safe and effective.Surgical technical experience accumulation and the improvement of postoperative care can help further reduce the incidence of complications.