小儿主动脉缩窄的诊断和外科治疗

目的 总结小儿主动脉缩窄的诊断方法和外科治疗经验。方法 １３例小儿主动脉缩窄患儿，年龄４７天￣１２岁，体重４．５￣２７ｋｇ。９例行Ｇｏｒｅ－Ｔｅｘ补片扩大成形术；２例行缩窄段切除，端端吻合术；２例行左锁骨下动脉翻转降主动脉成形术。其中１例４７天龄合并室间隔缺损及肺动脉高压的小婴儿一期同时心内畸形矫治术。结果 全部手术顺利，无手术死亡和术后并发症，随访疗效均满意。结论 上下肢血压异常是本病的特征性表

Diagnosis and Surgical Correction of Coarctation of aorta in children

Objective To summarize the experience of diagnosis and surgical correction ofcoarctation of aorta in children. Methods Thirteen cases of coarctation were studied, ranging from 47 daysto 12 years in age, from 4. skg to 27kg. in weight, among which, 9 were performed by Gore-Tex patchaortoplasty, 2 by end to end anastomosis of the aorta with removal of the coarctated segment and 2 byaortoplasty with left subclavian flap. The diagnosis was made by characteristic sign hypertension ofupper limbs by means of echocardiogrsaphy and aortography. Results All had favourable outcome. Therewas no postoperative complication or death. Conclusion We must pay attention to the characteristicsign of hypertension in the upper limbs. The optimal age of the patient for surgical connection isdependent on his conditions. The majority of the patients can be operated on with cross-clamping of thedescending aorta under normothermia.