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目的 :婴幼儿PDA术后不置胸腔引流的治疗体会。方法 :经左腋下第四肋小切口 ,4～ 6cm ,常规结扎动脉导管 ,关胸时排尽余气 ,不置闭式引流。结果 :无病例死亡 ,术后杂音消失 ,仅 1例少量积血 ,其余病例术后无积液积气。 2例喉返神经损伤 ,3月后恢复。结论 :创伤小痛苦轻 ,减少手术疤痕 ;有利于患儿术后护理和治疗 ,有利于早期咳嗽和下床活动 ,促使肺复张 ,减少住院时间 ,降低了患儿恐惧心理。该法适应于婴幼儿管型PDA。复杂婴幼儿PDA及成人PDA慎用
Objective: Infantile PDA postoperative chest drainage treatment experience. Methods: The left armpit of the fourth rib small incision, 4 ~ 6cm, conventional ligation of the ductus arteriosus drainage exhaust gas, not closed drainage. Results: No case of death, murmur disappeared, only a small amount of hemorrhage, the remaining cases no effusion after accumulation of gas. 2 cases of recurrent laryngeal nerve injury, recovery after 3 months. CONCLUSIONS: It is less painful to reduce traumatic scar. It is good for postoperative nursing and treatment in children. It is good for early coughing and getting out of bed, promoting lung recruitment, reducing hospitalization time and reducing children’s fear. The law is suitable for baby tube PDA. Complex baby PDA and adult PDA with caution