复杂型动脉导管未闭的手术治疗

Experience of Operation for Complicated Patent Ductus Arteriosus

目的 探讨复杂型动脉导管未闭的手术治疗方案。方法 回顾性分析我院 1993年 10月至 2 0 0 1年 8月间该病 87例患者手术治疗情况。结果 所有病例均体外循环下一期行动脉导管未闭封闭术和并发心血管畸形矫正手术 ,手术死亡 5例 ,死亡率 5 7%,死亡原因主要为心力衰竭 ,存活患者平均随访 3年 7月 ,无手术并发症。

Objective To investigate the operative procedure for complicated patent ductus arteriosus.Methods 87 cases of complicated patent ductus arteriosus who received operation from Oct 1993 to Aug 2001 were studied retrospectively.Results Operations supported by cardiopulmonary bypass for closure of complicated patent ductus arteriosus and other concomitant cardiothoracic procedures were performed on the all patients at the same time. There were 5 cases of deaths, with dead rate of 5 7%, which mainly caused by heart failure. 82 survivals were followed up at mean period of 3 years and 7 months, and no operative complications occurred.Conclusions Closure for complicated patent ductus arteriosus with correction of concomitant cardiothoracic malformation supported by cardiopulmonary bypasss is a effective treatment of complicated patent ductus arteriosus.