婴幼儿先天性心脏病476例外科治疗

目的 探讨婴幼儿先天性心脏病外科治疗经验.方法 2001年1月～2005年6月行婴幼儿先天性心脏病直视手术476例,男289例,女187例,年龄13日～36个月,体重3～16kg.非紫绀型先天性心脏病患儿307例,全部Ⅰ期根治,紫绀型先天性心脏病患儿169例,行Ⅰ期根治或分期手术.合并症有:中、重度肺动脉高压107例,中重营养不良37例,反复肺炎、抗心力衰竭药不能控制47例.结果 95.2%(453/476)痊愈出院.全组手术死亡率为4.8%(23/476),2004年以来死亡率2.9%(5/175);死亡病儿多为年龄小于1岁和复杂先天性心脏病,主要死因为低心输出量综合征和肺部并发症;限期手术死亡率6%(3/47).结论 婴幼儿先天性心脏病早期手术疗效良好.

Surgical treatment of 476 infant cases with congenital heart disease

Objectives To explore the clinical experience of the infants cases with congenital heart disease.Methods The experience of 476 infant cases with congenital heart disease since Jan 2001 to Jun 2005 was summarized.Results Among the cases of this group,453 cases were recovered,only 23 cases were died.Conclusions Infant congenital heart disease must be operated at the earliest time.It is emphasized that early discover,early diagnosis and early treatment.Doing well peri-operation period management,forepart operation will obtain the best curative effect.