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本文报道61例新生儿严重型先心病,均经心血管造影确诊。以完全性大血管错位最多(26.2%),其次永存动脉干(16.4%)、法乐氏四联症(14.8%)及肺动脉闭锁(13.1%)等。提出该时期心血管造影检查仅用普鲁卡因局部麻醉即能完成并较全身麻醉安全。13例作球囊房隔造口术,9例成功,SaO_2增高。8例静脉点滴前列腺素E,PaO_2增高。11例作开胸手术,存活5例,死亡6例。本文说明新生儿期若能及早确诊进行有效内、外科治疗可延长患儿生命。
This article reports 61 cases of severe neonatal congenital heart disease, confirmed by cardiovascular angiography. Completely with the largest macrovascular dislocation (26.2%), followed by permanent dry arteries (16.4%), tetralogy of Fallot (14.8%) and pulmonary atresia (13.1%) and so on. Proposed that the period of angiocardiography can only be done by local anesthesia with procaine and is more safe than general anesthesia. Thirteen balloon-assisted septostomy, 9 cases of success, SaO_2 increased. 8 cases of intravenous prostaglandin E, PaO_2 increased. Thirteen patients underwent thoracotomy, 5 survived, and 6 died. This article shows that early neonatal diagnosis and effective early surgery can prolong the lives of children.