| Amplatzer蘑菇伞器治疗儿小动脉导管未闭的临床应用 |
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| 引用本文： | 刘建平,张玉顺,成胜权,李环. Amplatzer蘑菇伞器治疗儿小动脉导管未闭的临床应用[J]. 心脏杂志, 2001, 13(6): 479-480 |
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| 作者姓名： | 刘建平 张玉顺 成胜权 李环 |
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| 作者单位： | 第四军医大学西京医院儿科, |
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| 摘 要： | 目的：探讨应用Amplatzer蘑菇伞器治疗小儿动脉导管未闭（PDA）的临床疗效及价值。方法：本组共68例，年龄8个月－12岁（平均6．4岁），体重6．5－30（平均18．2）kg,PDA直径为3－8mm，术中行右心导管检查取血，测压，术后5－15min行隆主动脉造影，测肺动脉压，主动脉压。术后1月，3月，6月分别行X线及超声心动图检查，了解有无残余分流及封堵器位置。结果：本组68例均应用AmplatzerPDA蘑菇伞器治疗，成功率100％，疗效满意，无并发症，术后3d行超声心动图检查显示无1例分流。结论：应用Amplatzer蘑菇伞器治疗PDA创伤小，操作简单，使用广泛，成功率高，临床疗效满意。
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| 关 键 词： | 动脉导管未闭 小儿 蘑菇伞器 先天性心脏病 临床 |
| 文章编号： | 1009-7236(2001)06-0479-02 |
| 修稿时间： | 2001-08-17 |
Clinical evaluation of the Amplatzer ductal occluder in the treatment of patent ductus arteriosus in children |
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| LIU Jian ping,ZHANG Yu shun,CHENG Sheng quan,LI Huan. Clinical evaluation of the Amplatzer ductal occluder in the treatment of patent ductus arteriosus in children[J]. Chinese Heart Journal, 2001, 13(6): 479-480 |
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| Authors: | LIU Jian ping ZHANG Yu shun CHENG Sheng quan LI Huan |
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| Abstract: | AIM To assess the safety and efficacy of the Amplatzer ductal occluder in the treatment of patent ductus arteriosus(PDA) in children. METHODS: A total of 68 patients underwent transcatheter occlusion of PDA at a median age of 6.4 years (range 8 month~12 years) and at a median weight 18.2 kg (range 6.5~30 kg). The diameters of ductus arteriosus were 3~8 mm. Aorta and pulmonary pressures were measured during and post implantation, and descending aorta imaging was performed 5~15 min post implantation. X ray and 2D echocardiogram examinations were performed 1,3 and 6 months after implantations to reveal the shunt and devices position. RESULTS: Complete closure was achieved in all patients (100% closure rate) and no complications were observed. No residual shunt was found 1 month after implantation by 2D echocardiogram. CONCLUSION:Transcatheter occlusion of PDA using Amplatzer ductal occluder is safe,effective and easy to perform. It is a satisfactory alternative method in the treatment of PDA in children. |
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| Keywords: | patent ductus arteriosus children ductal occluder |
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