摘要
目的探讨婴幼儿危重先天性心脏病急诊外科治疗的可行性、手术适应证的选择及处理原则。方法2003年5月至2006年12月为42例危重先心病婴幼儿施行急诊或亚急诊手术。结果术前准备时间1～9d,术后呼吸机辅助呼吸时间1～14(2.1±1.4)d。全组住院死亡2例,手术死亡率4.6%。随访2～24个月,心功能Ⅰ～Ⅱ级,效果满意。结论危重先天性心脏病患儿急诊、亚急诊外科治疗是安全的,可以控制大部分患儿的生命。准确选择手术适应证,正确的围术期处理是成功的关键。
Objective To study the feasibility, indication, technique of emergency operation and the perioperative management on critical congenital heart disease in infants. Search the best time of operation. Methods From May 2003 to December 2006, 42 emergency operations of critical congenital heart disease were performed in infants. Results The perioperative managing time was 1-9 d, the lasting time of intubation was 1-14 d （mean, 2.1±1.4）d. Two cases were early death, the operative mortality was 4.6%.Following up 2-24 months, the cardiac function of all were class Ⅰ - Ⅱ, the operative result was satisfactory. Conclusion The emergency operation of critical congenital heart disease in infants was safe, and can save most of their lives. The good result can be ob- tained fom the correct perioperative management.
出处
《中国心血管病研究》
CAS
2007年第6期404-405,共2页
Chinese Journal of Cardiovascular Research
基金
哈尔滨市科技局基金资助项目(2005AFXQY030)
关键词
婴儿
新生
心脏病/先天性
心脏外科手术
Infant, newborn
Heart diseases/congential
Cardiac surgical procedures
