摘要
目的：探讨经胸微创封堵术治疗室间隔缺损的围术期处理措施，以促进患儿快速康复。方法2012年5月至2013年6月，我们收治年龄6个月至3岁的单纯室间隔缺损患儿95例，其中经胸超声筛查后行经胸微创封堵术37例，采用传统外科体外循环手术58例，分析两组患儿术后早期并发症及处理措施，并对两组患儿的年龄、性别、体重、NYHA心功能分级、住院天数、手术时间、ICU监护时间、输血量、引流量及早期并发症等进行比较。结果两组年龄、体重、性别、心功能比较，差异无统计学意义，而经胸微创封堵术治疗与传统外科手术治疗比较，住院天数、手术时间、ICU监护时间更短，输血量、引流量更少，差异均有统计学意义，两组术后早期并发症的发生率相当，经积极干预后短期内恢复。结论经胸微创封堵术操作简单，术后恢复快，是治疗室间隔缺损的理想手段。术前食管超声再次评估、术后适当镇痛、镇静及心功能支持可减少术后早期并发症的发生，促进患儿快速康复。
Objetive To investgate perioperative management of ventricular septal defect treatment via one-stop hybrid procedures,and speed up the recovery process of the patients. Methods The postoperative management and intensive care data of 37 ventricular septal defect patients via one-stop hybrid procedures were retrospectively analyzed and compared with 58 ventricular septal defect patients via traditional surgical procedures in the same period.From May,2012 to June,2013,95 patients of ventricular septal defect aged 6 months to 3 years old were treated in our department,and with a transthoracic echocadiography screening were divided into one-stop hybrid procedure group（n=37）and traditional surgical procedure （n=58）.Early postoperative complications and management were retrospectively analyzed,and age,gender,weight,cardiac function,hospital day,postoperative mechanical ventilator time,operation time,ICU hospital time,blood transfusion amount,drainage amount and incidence of early postoperative complications between two groups were compared. Results Age,gender,weight and cardiac function had no difference between two groups,but hospital day,operation time and ICU hospital time was shorter,blood transfusion amount and drainage amount was fewer in one-stop hybrid procedure group than traditional surgical procedure.Incidence of early postoperative complications between two groups were almost equal,and the patients could both recover from the complications in a short time after positive interventions. Conclusion One-stop hybrid procedure was simple,made a quick recovery after operation and was an ideal method for ventricular septal defect treatment.Proper postoperative analgesia,enough cardiac function support and a preoperative evaluation by transesophageal echocadiography could reduce the incidence of early postoperative complications and speed up the recovery process of patients.
出处
《临床小儿外科杂志》
CAS
2014年第5期438-442,446,共6页
Journal of Clinical Pediatric Surgery
关键词
外科手术
微创性
室间隔缺损
治疗
Surgical Procedures,Minimally Invasive
Heart Septal Defects,Ventricular
Therapy
