| 新生儿复杂先天性心脏病的外科及围术期治疗的五年经验回顾 |
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| 引用本文： | 张荣媛,王旭,杨菊先,李守军,闫军,花中东. 新生儿复杂先天性心脏病的外科及围术期治疗的五年经验回顾[J]. 心脏杂志, 2020, 32(6): 607-611. DOI: 10.12125/j.chj.202004021 |
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| 作者姓名： | 张荣媛 王旭 杨菊先 李守军 闫军 花中东 |
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| 作者单位： | 1.重症监护室 中国医学科学院、北京协和医学院国家心血管病中心、阜外医院小儿心脏中心 |
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| 基金项目： | 国家重点研发计划项目资助（2017YFC1308100）；中国医学科学院临床与转化基金资助（2019XK320053）；协和医学院教育改革项目资助（10023201800203） |
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| 摘 要： | 目的 分析新生儿复杂先天性心脏病（先心病）手术结果，总结围术期治疗经验。 方法 回顾性分析我院2015年1月~2019年12月5年间218例新生儿住院及手术相关的临床资料。 结果 全组出院存活210例，死亡8例，手术死亡率为3.7%。术后呼吸机辅助时间为2 ~389（88±85）h，ICU治疗时间为 1~35（8±6）d，总住院时间为8~42（18±9）d。 结论 在小儿心脏外科团队各学科间的紧密配合下，对患儿予以积极的术前干预，恰当的手术时机、术式以及个性化的术后治疗策略，新生儿复杂先心病的外科治疗确实能取得良好的临床效果。
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| 关 键 词： | 心脏缺损，先天性 心脏外科手术 新生儿 重症监护 |
| 收稿时间： | 2020-04-03 |
Surgical and perioperative treatment of neonatal complex congenital heart disease: Five-year experience |
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| Affiliation: | 1.Pediatric ICU2.Department of Surgery, Pediatric Cardiac Center, Fuwai Hospital & National Center for Cardiovascular Diseases, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100037, China |
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| Abstract: | AIM To summarize the clinical outcomes and experience of operations on critical congenital heart disease (CHD) in neonates and to explore perioperative management for these patients. METHODS Two hundred and eighteen neonates with CHD undergoing operation from January 2015 to December 2019 in Fuwai Hospital were retrospectively analyzed. RESULTS In this group, 210 cases survived and 8 cases died with a mortality rate of 3.7%. The lasting time of intubation was 2~389 (88±85)h and intensive care unit (ICU) staying time was 1~35 (8±6)d. The total duration of hospitalization was 8~42 (18±9)d. CONCLUSION Good prognosis is obtained by active preoperative intervention, appropriate operation timing, fine operative technique and personalized postoperative treatment strategy. The team’s cooperation leads to the good outcomes. |
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