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372例婴儿室间隔缺损修补术治疗体会
引用本文:刘淼,徐宏耀,高廷朝,彭邦田,高飞,李友金. 372例婴儿室间隔缺损修补术治疗体会[J]. 医学综述, 2011, 17(8): 1267-1268
作者姓名:刘淼  徐宏耀  高廷朝  彭邦田  高飞  李友金
作者单位:河南省胸科医院心血管外科,郑州,450008
摘    要:目的总结372例婴儿室间隔缺损修补术的临床经验。方法行婴儿室间隔缺损修补术372例,术前合并难以控制的肺炎、心力衰竭,应用呼吸机并亚急诊手术8例。术中直接缝合26例,补片缝合346例。术后应用呼吸机辅助呼吸及抗炎、强心利尿、降肺动脉压治疗。结果围术期死亡4例,其中肺部感染2例,窒息2例,病死率1.08%。余均治愈出院。术后出现残余分流6例。术后应用呼吸机4~480 h,平均(32.0±10.2)h。术后合并呼吸道感染102例,其中肺炎48例。无远期传导阻滞发生。结论婴儿期室间隔缺损修补术治疗难度较大,但仍为治疗婴儿重症室间隔缺损的首选方法。

关 键 词:婴儿  室间隔缺损  手术

Experience of Ventricular Septal Defect Repair in 372 Infants
LIU Miao,XU Hong-yao,GAO Ting-chao,PENG Bang-tian,GAO Fei,LI You-jin. Experience of Ventricular Septal Defect Repair in 372 Infants[J]. Medical Recapitulate, 2011, 17(8): 1267-1268
Authors:LIU Miao  XU Hong-yao  GAO Ting-chao  PENG Bang-tian  GAO Fei  LI You-jin
Affiliation:LIU Miao,XU Hong-yao,GAO Ting-chao,PENG Bang-tian,GAO Fei,LI You-jin.(Department of Cardiovascular Surgery,Henan Provincial Chest Hospital,Zhengzhou 450008,China)
Abstract:Objective To summarize the clinical experience of ventricular septal defect repair in 372 Infants.Methods 372 infants were treated by ventricular septal defect repair.Before surgery,8 cases were treated with respirators and subemergent surgery for unmanageable combined pneumonia and heart failure.In the intraoperative period,26 cases were treated by direct suture and 346 cases were treated by patch suture.After surgery,treatments including respirators to assist respiration,anti-inflammation,enhancing heart ...
Keywords:Infant  Ventricular septal defect  Surgery  
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