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目的:评价经导管封堵术治疗先天性心脏病(CHD)的效果,总结治疗经验及教训。方法:对我院56例先天性心脏病使用Philips HD11型超声心动图(TTE)检查,观察缺损周缘软硬程度及大小,选择合适的封堵器。术中静脉穿刺成功后注射肝素,在X线监视下利用心导管术将封堵器送到位并打开,确认封堵效果满意后释放封堵器。术后统计住院时间、手术时间、手术成功率及并发症情况。结果:本组平均住院8.8天,平均手术时间50分钟;55例治疗成功,成功率98.2%,1例封堵器脱落。本组无死亡病例,2例发生心包填塞。结论:经导管封堵术治疗CHD,具有住院及手术时间短、创伤小、恢复快、手术操作简单、成功率高、并发症少的优点,值得临床推广应用。
Objective: To evaluate the effect of transcatheter closure of congenital heart disease (CHD) and to summarize the experience and lessons learned. Methods: 56 cases of congenital heart disease in our hospital using Philips HD11 echocardiography (TTE) check the extent and size of the defect peripheral soft and hard, select the appropriate occluder. Intraoperative venous puncture after the successful injection of heparin, the use of cardiac catheterization under the X-ray catheter occlusion sent to place and open, to confirm the sealing effect is satisfactory after the release of the occluder. Postoperative statistics of hospital stay, operation time, the success rate of surgery and complications. Results: The average hospital stay in 8.8 days, the average operation time of 50 minutes; 55 cases of successful treatment, the success rate of 98.2%, 1 case of occluder shedding. No deaths in this group, 2 cases of cardiac tamponade. Conclusion: Transcatheter closure of CHD has the advantages of shorter hospitalization and operation time, less trauma, faster recovery, simple operation, higher success rate and fewer complications, which is worthy of clinical application.