| 延迟关胸在小儿复杂先天性心脏病手术中的应用 |
| |
| 引用本文： | 安育林,周更须,王辉,刘宇航. 延迟关胸在小儿复杂先天性心脏病手术中的应用[J]. 中国医药导刊, 2012, 14(6): 1012-1013 |
| |
| 作者姓名： | 安育林 周更须 王辉 刘宇航 |
| |
| 作者单位： | 北京军区总医院附属八一儿童医院小儿心脏外科,北京,100700 |
| |
| 摘 要： | 目的:总结延迟关胸(DSC)在小儿复杂先天性心脏病(CHD)手术中的应用。方法:从2006年5月～2011年10月,我院对8例复杂CHD手术患儿使用DSC技术。男5例,女3例,年龄21d～2岁,体重2.3～15.4 kg。采用自身前后对照,观察DSC对预防手术意外及严重并发症的作用。结果:8例患儿中,治愈6例,住院死亡1例,住院死亡率12.5%,放弃治疗1例,出院15 d后死亡。存活患者术后无严重并发症,均已出院。结论:对于复杂CHD手术后出现严重并发症的患儿,DSC是一种安全有效的解决方法。正确的采用DSC可以降低小儿复杂CHD手术的死亡率。
|
| 关 键 词： | 延迟关胸(DSC) 小儿 复杂先心病(CHD) 手术 |
The Application of Delayed Sternal Closure Following Operations on Complex Congenital Heart Disease in Infant |
| |
| Affiliation: | An Yu-lin,Zhou Geng-xu,Wang Hui,et al.(Department of Pediatric Cardiac Center,Bayi Children’s Hospital,General Hospital of Beijing Military Region,Beijing 100700,China) |
| |
| Abstract: | Objective:To explore application of delayed sternal closure(DSC) following operation on complex congenital heart disease in infant.Methods:Between May 2006 and October 2011,8 patients with complex congenital heart disease were underwent DSC treatment.Among them,5 cases are boys and 3 cases are girls.Age was ranged from 21 d to 2 years,and body weight from 2.3 to 15.4 kg.Using self-control,effect of DSC on operative complication was observed.Results:In 8 cases of infant,6 were recovery,1 death,and 1 giving up treatment.In-hospital mortality was 12.5%.1 case of giving up was died at 15 d after hospitalization.Survival infant had no severe complications and were discharged.Conclusion:For infant,DSC is safe and effective approach to solve severe complication following operation for complex congenital heart disease.Using correct DSC could decrease mortality after operation on complex CHD. |
| |
| Keywords: | Delayed Sternal Closure(DSC) Infant Congenital Heart Disease(CHD) Operation |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
