摘要
目的探讨合并严重肺动脉高压的先天性心脏病患者的外科手术治疗。方法回顾117例合并有严重肺动脉高压,早期艾森曼格综合征的先天性心脏病外科手术患者的临床资料,并结合有关文献总结手术适应症、手术方式的改进及围术期处理。结果存活116例,死亡1例。提示术前经治疗和吸氧状态下动脉血氧分压低于9Kp(a67.5mmHg)为手术禁忌;9Kpa～11Kpa之间(67.5～82.5mmHg)可施术,但有一定风险;超过11Kpa(82.5mmHg)则可安全施行手术。结论某些伴有严重肺动脉高压或早期艾森曼格综合征的先心病患者并不是绝对手术禁忌症,经过特殊的围术期综合治疗及改进的手术技术,大多数患者是可以通过手术得到救治的,而且远期疗效满意,更长时间的远期疗效,还在临床随访观察中。
Objective to study the surgical treatment of congenital heart disease with seriouspulmonary hypertension. Methods the clinical data of 117 patients with congenital heartdisease patients with serious pulmonary hypertension and early Eisenmenger’s Syndrome wereanalyzed retrospectively, some details combined with related literature were construed in thefields of selecting operative indication, improving operative method and handling work aroundof operative period. Results 116 patients were alived and 1 patients was dead. If the PO2is 9Kpa(67.5mmHg)or less , the patient should probably not undergo the operation;if PO2is between 9Kpa(67.5mmHg) and 11Kp(a82.5mmHg),the patient is at increased risk;if thePO2 is 11Kpa(82.5mmHg)or more, the operation shoule be accepted。 Conclusion themost of congenital heart disease patients with serious pulmonary hypertension or earlyEisenmenger’s Syndrome were not absolute operative constraindication, through specialpreoperative and postoperative synthetical treatment and improving operative technology, themost of the congenital heart disease patients with serious pulmonary hypertension or earlyEisenmenger’s Syndrome can be treated and cured by operation, and long-term curativeeffect to be satisfactory. More long-term curative effect to be observed and followed up acase by regular visits to or correspondence with a patient.
出处
《罕少疾病杂志》
2006年第6期1-3,共3页
Journal of Rare and Uncommon Diseases
关键词
肺动脉高压
艾森曼格综合征
先天性
心脏病
外科治疗
pulmonary hypertension
eisenmenger’s syndrome
congenital
heart disease
surgical treatment
