儿童室间隔缺损合并肺动脉高压的外科治疗

目的: 总结儿童室间隔缺损合并肺动脉高压的外科治疗体会。方法: 室间隔缺损合并肺动脉高压15例在低温体外循环下涤纶补片修补。结果: 术后无一例死亡,发生低心排综合征2例,胸腔积液1例。出院时彩超检查1例存在2 mm残余分流,随访1年,临床症状消失,营养发育状况明显改善。结论: 儿童室间隔缺损合并肺动脉高压经过及早诊断、治疗,绝大多数得到根治,且手术安全性较高,术后均可恢复正常。

Surgical treatment for ventricular septal defect combined with pulmonary hypertension in children

Objective:To summarize the surgical treatment for ventricular septal defect(VSD) combined with pulmonary hypertension(PH) in children.Methods:Fifteen patients with ventricular septal defect combined with pulmonary hypertension diagnosed by color Doppler flow imaging(CDFI) were included in this group and underwent the Dacron patch repair under hypothermal cardiopulmonary by pass.Results:Death occurred in no patients after the operation.The low cardiac output occurred in two patients and the hydrothorax in one patient.The residual shunt of 2 mm was found in the CDFI in one patient when discharged from the hospital.The clinical symptoms disappeared and the state of the nutrition and the development for the patients was significantly improved in the follow-up 12 months.Conclusions:Most children with ventricular septal defect combined with pulmonary hypertension can be cured with early diagnosis and treatment.The operation is safe.After the operation the patient can recover completely.