论文部分内容阅读
我院自1989年8月至1994年12月共收治1岁以内婴儿先心病伴肺高压11例,年龄平均5.7月±0.8,体重平均在5.2公斤±0.6,所有病例术前均有反复肺部感染及难以控制的顽固性心衰,均在全麻体外循环下行一期缺损修补的急诊手术,其中8例采用深低温停循环方法,手术效果满意,术后死亡1例。本文着重对急诊手术时机和手术方法的选择以及对这类病儿术后肺高压的处理进行了讨论。
Our hospital from August 1989 to December 1994 were treated within 1 year of age with congenital heart disease in children with pulmonary hypertension in 11 cases, mean age 5.7 ± 0.8, average body weight 5.2 kg ± 0.6, all All cases had recurrent pulmonary infection and refractory refractory heart failure before operation. All patients underwent emergency surgery with one-stage defect repair under cardiopulmonary bypass. Among them, 8 cases were treated with deep hypothermic circulatory arrest, the operation was satisfactory and the postoperative death 1 case. This article focuses on the timing of emergency surgery and surgical methods of choice and the treatment of such patients with postoperative pulmonary hypertension were discussed.