论文部分内容阅读
目的:总结小儿常见先天性心脏病(congenital heare disease,CHD)的外科治疗经验。方法:2008年2月至2013年3月共行小儿常见先天性心脏病手术242例〔室间隔缺损(VSD)139例、房间隔缺损(ASD)48例、动脉导管未闭(PDA)50例、肺动脉瓣狭窄(PS)5例〕,其中体外循环手术193例,非体外循环手术49例。结果:本组无手术死亡,242例均痊愈出院。其中1例PDA术后合并左肺不张,经支气管镜吸痰处理痊愈;2例巨大VSD术后合并2~3mm小残余分流,6个月后复查心脏超声均自行愈合。随访6月~5年,无死亡,所有患儿体质及免疫力较术前增强,发育良好。结论:小儿常见先天性心脏病手术效果良好,手术适应证及手术时机的合理把握、术中各环节的密切配合及良好的术后监护是保证手术成功的重要因素。
Objective: To summarize the experience of surgical treatment of children with common congenital heart disease (CHD). Methods: From February 2008 to March 2013, a total of 242 children with common congenital heart disease (VSD, 139 cases), ASD (48 cases), patent ductus arteriosus (PDA), 50 cases , Pulmonary stenosis (PS) 5 cases), including 193 cases of cardiopulmonary bypass surgery, 49 cases of off-pump surgery. Results: There was no operative death in this group, and 242 patients were discharged. One case of PDA combined with left atelectasis and bronchoscopy suction cured; 2 cases of huge VSD combined with 2 ~ 3mm small residual shunt, 6 months after the review of cardiac ultrasound are self-healing. Follow-up from 6 months to 5 years, no death, all children with physical fitness and immunity than preoperative enhancement, well-developed. Conclusion: The common operation effect of common congenital heart disease in children, surgical indications and reasonable timing of operation, close cooperation in all aspects of operation and good postoperative care are important factors to ensure the success of operation.