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婴儿室间隔缺损的外科手术治疗(附31例报告)

Treatment of infant VSD by surgical operation(a report of 31 cases)
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摘要 目的 总结婴儿室间隔缺损 (VSD)外科手术的经验和体会。方法 回顾分析了 3 1例年龄在 2~ 12个月 ( 6.7± 3 .4)的VSD患儿的手术治疗情况。结果 术后存活 3 0例 ,近期死亡 1例。并发症以呼吸系统最多 ,如肺部感染、低氧血症等 ;心律失常次之。随访 1~ 19个月 ,2 9例心、肺功能良好 ;1例残余分流、慢性心功能不全 ;1例完全性房室传导阻滞 ,血液动力学稳定。结论 只要掌握其特点 ,VSD在婴儿期手术可以获得满意的疗效。 Objective To summarize experiences of treating ventricular septal defect(VSD)by surgical operation.Method 31 infants with VSD treated by operation,whose age was 2-12 months,were reviewed and analyzed retrospectively(6.7±3.4).Result 30 infants were alive and one died after operation.The complications in respiratory system such as infection and hypoxemia were more than those in arrhythmia.The survivors were followed up from 1 to 19 months.29 cases had good heart and lung function.One case had residual shunt and chronic heart dysfunction.One case had complete atrioventricular block,but her blood dynamics were stable.Conclusion As long as the characteristics of the infant VSD are understood,satisfactory results of surgical operations can be expected.
出处 《安徽医学》 2004年第5期369-370,共2页 Anhui Medical Journal
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