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先天性心脏病合并气道异常的围术期处理 被引量：6

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摘要 目的提高对先天性心脏病合并气道异常的认识,总结围术期处理经验。方法对中南大学湘雅二医院2006年1月至2008年1月收治的5例先天性心脏病合并气道异常患者的临床资料进行回顾性分析,其中男3例,女2例;年龄5个月~9岁,平均年龄27个月。气道异常包括：左主支气管狭窄2例,右侧气管化支气管、气管轻度软化和左主支气管狭窄、长段先天性气管狭窄各1例。行先天性心脏病矫治术加左主支气管成形术1例,仅行先天性心脏病矫治术3例,放弃手术治疗1例。结果围术期死亡1例,为先天性心脏病合并右侧气管化支气管,术后发生右肺上叶不张、肺部感染和呼吸衰竭死亡。1例先天性心脏病合并左主支气管狭窄,同期行左主支气管成形术后顺利出院;随访2年健康。1例行先天性心脏病矫治术后撤离呼吸机困难,发现合并先天性左主支气管狭窄伴轻度气管软化,经内科处理撤离呼吸机后仍有喘憋;随访6个月患者发育好,喘憋未再发作。1例混合型室间隔缺损致心脏扩大、肺动脉扩张压迫左主支气管导致狭窄,行先天性心脏病矫治术后左主支气管压迫症状缓解;随访1年健康。1例合并长段气管狭窄,家属放弃手术。结论先天性心脏病合并气道异常临床上很少见。应提高对该病的认识,做到术前确诊;采用最佳的手术方法,尽量与先天性心脏病同期手术纠治;术后加强呼吸道管理,以获得最佳的疗效。
作者 陈金兰 杨一峰 刘锋 吴忠仕 赵天力 谭明亮 尹倪
机构地区 中南大学湘雅二医院胸心外科重症监护专科 中南大学湘雅二医院胸心外科
出处 《中国胸心血管外科临床杂志》 CAS 2010年第6期509-511,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 先天性心脏病 气道异常 气管 支气管狭窄
分类号 R726.5 [医药卫生—儿科]
  • 相关文献

参考文献11

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二级参考文献6

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共引文献3

同被引文献46

  • 1王谦,钟玉敏,孙爱敏,杜隽,朱铭.血管环伴气管狭窄的多层螺旋CT诊断[J].上海交通大学学报（医学版）,2011,31(9):1312-1315. 被引量：15
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  • 3殷勇,肖洁,岳孟源,王薇.先天性心脏病合并气管狭窄的诊治策略[J].复旦学报（医学版）,2005,32(2):159-160. 被引量：4
  • 4石磊,范太兵,李群,徐红亮,李斌,裴宇,杨玉奇.婴儿室间隔缺损合并肺动脉高压的早期外科治疗[J].中国实用医刊,2010,37(2):28-29. 被引量：2
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  • 6Shapiro NL,Huang RY,Sangwan S,et al. Tracheal stenosis and con -genital heart disease in patients with down syndrome : diagnostic ap -proach and surgical options. Int J Pediatr Otorhinolaryngol, 2000,54(2-3):137-142.
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引证文献6

二级引证文献14

中国胸心血管外科临床杂志
2010年 第6期

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