摘要
目的 :探讨婴幼儿房、室间隔缺损 (ASD、VSD)的外科治疗经验。方法 :对 1994- 0 1～ 2 0 0 0 - 12接受体外循环心内直视手术治疗的 45例婴幼儿房、室间隔缺损病例进行回顾性分析。结果 :婴幼儿房、室间隔缺损者常反复呼吸道感染 ,早期出现心衰及肺动脉高压。本组手术死亡 1例 ,死亡率 2 .2 %(1/ 45 ) ,无晚期死亡。结论 :婴幼儿房、室间隔缺损合并肺动脉高压者应尽早手术 ,围手术期应加强心功能支持保护 ,呼吸道管理。
Objective:To probe the experience of surgical treatment of ventricular septal defect(VSD)or atrial sepatal defect(ASD) in infant and young children.Methods:45 patients with VSD or ASD underwent surgical management from Jan.1994 to Dec.2000.The mean bodyweight of patients at the time of operation was 11.2 kg. Results:Respiratory tract infection occurred repeatedly in infant and young children with VSD or ASD,heart failure and pulmonary hypertension usually appeared in the early stage.The hospital mortality was 2.2%(1/45).The cause of death was heart failure.Conclusion:Surgical treatment of VSD or ASD with pulmonary hypertension in infants and young children should be performed as soon as possible.Perioperative management is an important factor influencing surgical outcome.
出处
《西北国防医学杂志》
CAS
2002年第1期23-25,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
心脏瓣膜疾病
婴幼儿
房间隔缺损
室间隔缺损
外科治疗
Heart valve disease
Infant and young children
Atrial septal defect,ventricular septal defect
