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10kg以下儿童心内直视手术54例分析 被引量:1

Open heart surgery for children under 10 kg:A report of 54 cases
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摘要 目的 :探讨低体重 (≤ 10kg)先天性心脏病患儿手术疗效及时机的选择。方法 :回顾性分析 5 4例低体重的室间隔缺损、房间隔缺损、法洛四联症、完全性肺静脉异位引流患儿的手术治疗情况。结果 :术后存活 5 2例 ,并发症以呼吸道居多 ,尤其是感染 ;病死 2例。随访 1~ 2 0个月 ,5 0例情况良好 ;其中 1例残余分流、慢性心功能不全 ,1例非窦性心律。结论 :适时选择手术治疗低体重先天性心脏病可以获得满意疗效。 Objective:To investigate the curative effect and the time for surgical treatment of the congenital heart disease for patients with weight under 10 kg.Methods:Fifty-four cases whose weight was under 10 kg and who had received surgical treatment for ventricular septal defect(VSD),atrial septal defect(ASD),tetralogy of Fallot(TOF) or total anomalous pulmonary venous connection(TAPVC) were analysed retrospectively.Results:Fifty-two suvived.The most common complications were respiratory infection;2 died.One to 20 months' follow-up showed that 50 patients were in good condition;one case had residual shunt and chronic malfunction of the heart;another had non-sinus rhythm of the heart.Conclusions:Optimum time for surgical treatment of congenital heart disease for children with light weight can ensure a better result.
出处 《蚌埠医学院学报》 CAS 2004年第4期327-329,共3页 Journal of Bengbu Medical College
关键词 心脏缺损 先天性 心脏外科学 儿童 住院 heart defects,congenital heart surgery child,hospitalized
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