摘要
目的探讨新生儿危重先天性心脏病的病种组成、手术必要性以及手术治疗的方法和效果。方法回顾性分析2012年1～6月广东省人民医院小儿心外科收治的新生儿危重先天性心脏病51例的临床资料。所有病例均行手术治疗，术后转心脏监护室。结果本组51例中，术后成功出院47例（92．2％），死亡4例，病死率为7．8％。其中，完全性肺静脉异位引流死亡1例，死因为肺动脉高压危象；肺动脉闭锁死亡1例，死因为术后严重低氧血症、恶性心律失常；Taussig-Bing畸形死亡1例，死因为心力衰竭、低心排出量综合征；三尖瓣闭锁死亡1例，死因为术后低心排出量综合征。结论新生儿危重先天性心脏病及时手术治疗，是挽救患儿生命的有效手段。根治手术是新生儿危重先天性心脏病主要手术方式，延迟关胸、体外膜肺氧和、腹膜透析等治疗的应用，可以减少危重心脏病新生儿的死亡。
Objective To summarize our experience on the surgical management of neonates with critical congenital heart diseases, Methods From January to June 2012, 51 neonates with critical congenital heart diseases undertook surgical repair in our center. These patients included 37 males and 14 females. Their age ranged from 2 to 30 days old, and the average age was （12 ± 6）days old. They weighted from 1.0 to 4. 3 kilograms with an average weight of （3.1 ± 0. 7）kilograms. Results The mortality was 7. 8%. Four patients died after surgery, 1 patient with pulmonary venous drainage died of postoperative pulmonary hypertension, 1 patient with died of severe postoperative hypoxemia and malignant arrhythmia, 1 with Taussig-Bing malformation died of heart failure and low cardiac output syndrome, the other 1 with tricuspid atresia died of postoperative low cardiac output syndrome. The rest of these patients recovered well without any complications. Conclusions Surgery is feasible for the treatment of critical congenital heart diseases in neonates.
出处
《中华小儿外科杂志》
CSCD
北大核心
2013年第3期169-172,共4页
Chinese Journal of Pediatric Surgery
关键词
心脏病
婴儿
新生
心脏外科手术
Heart diseases
Infant, newborn
Cardiac surgical procedures
