新生兒嬰幼兒先天性心臟病圍手術期監護及治療

Peri-operation Care and Treatment for Neonate and Infant with Congenital Heart Disease

新生兒嬰幼兒先天性心臟病手術治療需根據患兒先心病解剖,血流動力特點和病情輕重,決定分期或根治手術。本組共7例先心病,新生兒期3例,嬰兒期4例,病情危重、解剖畸形複雜,需早期手術,7例患嬰經手術治療之後,全部康復出院。先匚、病圍手術期的監護及治療需結合不同解剖畸形和手術方式。超聲心動圖(Echo)在先心病診斷,術中監測和療效評估等起重要作用。對依賴型PDA,及時應用PGE,能維持PDA開放‘改善病情和爭取手術機會。

Surgical procedures for the neonate and infant with congenital heart disease(including palliation and correction)are performed according to the pathological anatomy,characteristic of blood dynamics and the patient's condition.In the study there were 7 cases.3 cases of neonates,4 cases of infants.The surgical procedure had be done because of the critical conditions.The result was satisfactory.Peri-operation care and treatment should be adjustable for difference of abnormal structures and procedures.It is very important to apply echocardiograghy in diagnosis,observation and evaluation of the result of the procedures.In order to keep PDA open,improve the condition and make a good opportunity of surgical procedure Prostaglandin should be used promptly in the patients with the dependent PDA.