高原地区单中心先天性心脏病手术治疗136例经验总结

Summary of Experience of 136 Cases of Con-genital Heart Disease in Plateau Area

目的:探讨高原地区先天性心脏病发病特点及治疗策略。方法:回顾性分析2019年6月~2020年7月青海红十字医院收治的136例高原地区先天性心脏病患者病例特点、手术治疗方法及围术期管理经验,分析其术前、术中和术后等治疗因素对患者预后的影响。结果:高原地区先天性心脏病病种复杂,房间隔缺损及动脉导管未闭绝大多数可以经皮封堵治疗,效果良好;复杂先心病矫治术后患儿恢复与手术技术、术后管理经验及患儿就诊时机等密切相关,合并肺动脉高压患者的治疗相对困难,有高原地区的自身特点。结论:高原地区先心病救治单位的治疗技术需注重复杂先心病的个体化治疗,早诊早治仍是治愈先天性心脏病的关键之一。

Objective: To investigate the characteristics and strategies of congenital heart disease in plateau area. Methods: The characteristics of 136 congenital heart disease cases in plateau area admitted in Qinghai Red Cross Hospital from June 2019 to July 2020, surgical treatment methods and perioper-ative management experience, and the influence of preoperative, intraoperative and postoperative treatment factors on patient prognosis were analyzed. Results: Plateau congenital heart disease is complex, and atrial septal defect and patent ductus arteriosus can be treated with percutaneous oc-clusion and have good effects;the recovery of complicated congenital heart disease is closely related to surgical technique, postoperative management experience and the treatment of pulmonary hy-pertension. The treatment of pulmonary hypertension of congenital heart disease in plateau area has certain difficulty. Conclusion: The treatment technology of the plateau area of congenital heart disease treatment unit should be the individualized treatment of complex congenital heart disease, and early diagnosis and early treatment is still one of the key to cure congenital heart disease.