摘要
目的探讨新生儿危重先天性心脏病的外科治疗方法。方法自1990年1月至2006年7月我院心外科共收治新生儿先天性心脏病219例,男性病例142例,女性77例,年龄为1d^30d,平均为(21±5)d,体重为0.9kg^4.3kg,平均为(3.5±0.5)kg。所有病例均行手术治疗,术后转入心脏监护室。结果全组病例死亡21例(9.6%),术后并发症包括心排血量低、肾衰竭、呼吸衰竭等。结论新生儿危重先天性心脏病应早期诊断、尽早治疗。在新生儿危重先天性心脏病的外科治疗过程中,手术技术、麻醉方法、体外循环技术、心肌保护和术后监护技术各方面都很重要。
Objective Study on surgical management of neonates with critical congenital heart diseases. Methods From Jan, 1990 to July 2006, 219 neonates with critical congenital heart diseases were operated in our hospital. Their ages ranged from 1 to 30 days (mean 21± 5 days). The weights ranged from 0. 9 to 4.3 kg (mean3.5±0. 5kg). Results There were 21 cases died in early postoperative period, The mortality is 9.6%. Conclusion The critical and complex congenital heart diseases should diagnosed and operated as early as possible, During the period of surgical management with neonatal congenital heart diseases, the technical of surgery,anesthesia,CPB,myocardial protection and postoperative intensive care are very important.
出处
《中华妇幼临床医学杂志(电子版)》
CAS
2006年第6期324-326,共3页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)