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| 早产儿动脉导管未闭的床旁外科治疗 | |
| 引用本文： | 杨学勇,周更须,李秋平,付松,刘宇航,王辉,赵鑫,封志纯. 早产儿动脉导管未闭的床旁外科治疗[J]. 山东大学学报(医学版), 2011, 49(8): 133-135 |
| 作者姓名： | 杨学勇 周更须 李秋平 付松 刘宇航 王辉 赵鑫 封志纯 |
| 作者单位： | 1.北京军区总医院附属八一儿童医院心脏外科， 北京 100700； 2.山东大学齐鲁医院心脏外科， 济南 250012； 3.北京军区总医院附属八一儿童医院早产儿监护病房， 北京 100700 |
| 摘 要： | 目的 总结在新生儿监护病房(NICU)床旁施行早产儿动脉导管未闭(PDA) 外科手术的经验。方法 回顾性分析2009年10月至2011年5月35例(内科保守治疗无效)床旁行PDA结扎和(或)钳夹术的患儿术前、术中及术后转归情况。患儿体质量最小的仅有720g。结果 所有患儿无术中大出血及手术死亡。术后1例出现喉返神经损伤，2例不能脱离呼吸机而死亡，其余均痊愈出院。结论 早产儿PDA经内科保守治疗无效或存在药物治疗禁忌的情况下，均应行PDA结扎和(或)钳夹术，手术治疗效果肯定。NICU可满足床旁PDA手术。 |
| 关 键 词： | 低体质量；早产儿；动脉导管未闭；床旁手术；外科治疗 |
| 收稿时间： | 2011-05-12 |
Bedside surgical ligation of Patent Ductus Arteriosus in low body weight premature infants |
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| YANG Xue-yong,ZHOU Geng-xu,LI Qiu-ping,FU Song,LIU Yu-hang,WANG Hui,ZHAO Xin,FENG Zhi-chun. Bedside surgical ligation of Patent Ductus Arteriosus in low body weight premature infants[J]. Journal of Shandong University:Health Sciences, 2011, 49(8): 133-135 | |
| Authors: | YANG Xue-yong ZHOU Geng-xu LI Qiu-ping FU Song LIU Yu-hang WANG Hui ZHAO Xin FENG Zhi-chun |
| Affiliation: | 1. Department of Cardiac Surgery, Affiliated Bayi Children′s Hospital of General Hospital of Beijing Military Region, Beijing 100700, China; 2. Department of Cardiac Surgery, Qilu Hospital of Shandong University, Jinan 250012, China； 3. Premature Neonatal Intensive Care Unit, Affiliated Bayi Children′s Hospital of General Hospital of Beijing Military Region, Beijing 100700, China |
| Abstract: | Objective To discuss the experience of bedside surgical treatment of Patent Ductus Arteriosus (PDA) by ligature or clippling for premature infants in NICU. Methods Thirty five operations (all infants failed the conservative treatment ) from Oct 2009 to May 2011 were reviewed. The lowest weight of infants was 720 grams. Results In all 35 cases, no death occured during the operations. Recurrent laryngeal nerve was injured in one case. Two cases died of postoperative respiratory failure. Conclusion Surgical ligation of PDA, either by ligature and (or) clipping, is a good option for premature infants with PDA, especially for those medicine closure contraindicated or unsuccessful. NICU department can meet the requirement of PDA surgery. |
| Keywords: | Low weight Premature infant Patent ductus arteriosus Bedside operation Surgical treatment, |
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