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近年来重症婴幼儿先天性心脏病大部分通过手术可获得矫治,而术前通过心导管术精确的诊断及介入性治疗改善血液动力学的术前准备为手术成功的关键。婴幼儿患儿由于年龄小,病情重,畸形复杂且多同时进行左右心插管,故增加了操作难度、并发症及死亡率。我院自1990年5月至1995年12月成功地为1000例3岁以下小儿作了心导管及心血管造影术,与外科手术后诊断符合率100％,其中同时进行左右心插管占86.2％,术中无1例死亡,24小时死亡率0.3％。严重并发症为1.5％,均较国外报道发生率低。
In recent years, severe infantile congenital heart disease most of the surgery can be corrected, and preoperative accurate diagnosis of cardiac catheterization and interventional treatment to improve hemodynamic preoperative preparation is the key to the success of the operation. Infants and young children as a result of their age, severe illness, deformity and more complicated left and right heart catheterization, it increased the difficulty of operation, complications and mortality. Our hospital from May 1990 to December 1995 successfully for the 1000 cases of children under the age of 3 underwent cardiac catheterization and angiography, and postoperative diagnosis of 100% compliance, including simultaneous left and right heart catheterization accounted for 86.2 %, No intraoperative death in one case, 0.3% of the 24-hour mortality. Serious complication was 1.5%, both lower than the incidence of foreign reports.