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目的:探讨高原地区经导管介入治疗先天性心脏病并发症及其防治。方法:对968例3种常见先天性心脏病患者施行了介入治疗,其中动脉导管(PDA)封堵组586例,房间隔缺损(ASD)封堵组340例,室间隔缺损(VSD)封堵组42例,统计分析所有患者术中及术后发生的并发症,并对并发症的处理进行总结。结果:手术成功率98%,无死亡病例,严重并发症发生率1.55%(15/968),其中PDA封堵组1.0%(6/586),ASD封堵组1.8%(6/340),VSD封堵组7.1%(3/42)。术中或术后一过性及短期并发症发生率0.62%(6/968),其中PDA封堵术组0.34%(2/586),ASD封堵组0.9%(3/340),VSD封堵组2.4%(1/42)。结论:高原地区介入治疗具有操作简便易行、创伤小、风险小、安全可靠、技术成功率高、住院时间短等优点。
Objective: To investigate the complications and prevention and treatment of congenital heart disease treated by catheterization in the plateau area. Methods: Interventional therapy was performed on 968 patients with 3 common congenital heart diseases. Among them, there were 586 cases of PDA, 340 cases of ASD and 704 cases of VSD In the group of 42 cases, all patients were analyzed intraoperatively and postoperative complications, and the complication was summarized. Results: The success rate of operation was 98%, no deaths were found. The incidence of serious complications was 1.55% (15/968), including 1.0% (6/586) in PDA occlusion group, 1.8% (6/340) in ASD occlusion group, VSD occlusion group 7.1% (3/42). Intraoperative or postoperative transient and short-term complication rates were 0.62% (6/968), including 0.34% (2/586) in PDA occlusion group, 0.9% (3/340) in ASD occlusion group, and VSD closure Blocking group 2.4% (1/42). Conclusion: Interventional treatment in the plateau region has the advantages of easy operation, less trauma, less risk, safety and reliability, higher technical success rate and shorter hospital stay.