腭裂伴发屏气综合征及先心病1例

Cleft palate in patient with congenital heart disease and breath-holding spells:a case report

目的:探讨腭裂伴发屏气综合征及先心病患儿围手术期的临床处置要点。诊治经过:对腭裂及先心病患儿进行专科检查后确认心功能正常,明确其伴发屏气综合征。分析病情后制定治疗计划,并施行腭裂修复手术。结果:手术进行顺利,患儿术后恢复良好,术后8个月随访可见软腭形态良好,语音清晰。结论:在术前严格评估、术中仔细操作、术后密切保护的条件下,屏气综合征伴先心病的腭裂患者可以行外科手术。

Objective:Exploring the key points of perioperative clinical management for children with cleft palate accompanied by breath holding syndrome and congenital heart disease.Diagnosis and treatment:After conducting specialized examinations on the child with cleft palate and congenital heart disease,it was confirmed that his heart function was normal and that he was accompanied by breath holding syndrome.After analyzing the condition,a treatment plan was developed and cleft palate repair surgery was performed.Results:The surgery was successful.At 8 months of follow-up,the velar morphology was good and the patient had a clear articulation.Conclusions:Surgical operation can be considered in cleft palate patient with breath-holding syndrome and congenital heart disease under strict evaluation,delicate surgical manipulation and close protection.