动脉导管未闭1013例外科治疗

目的:探讨动脉导管未闭的外科治疗经验.方法:回顾性分析1 013例动脉导管未闭患者的临床特征,手术过程与转归.结果:单纯动脉导管未闭组无死亡;动脉导管未闭合并其他心内畸形组易早期产生重度肺动脉高压和心功能不全,手术死亡3例.结论:经左腋下小切口治疗动脉导管未闭优点多,可为动脉导管未闭手术治疗的常规方法.动脉导管未闭合并其他心内畸形者,可根据病情分期或一期手术.

Surgical treatment of patent ductus arteriosus in 1 013 patients

Objective: To summarize the experience of surgical treatment of patent ductus arteriosus. Methods: We reviewed and analyzed the clinical feature, operated process, and results of patent ductus arteriosus in 1 013 patients. Results: There was no death in the group of pure patent ductus arteriosus. Early severe pulmonary hypertension and heart failure could result from patent ductus arteriosus associated with other congenital heart diseases. The hospital mortality was 7.6%. Conclusion: Surgical treatment through left alar minimal incision has many benefits in treating patent ductus arteriosus. Different managements may be used in the patients with patent ductus arteriosus associated with other congenital heart diseases.