先天性心脏病介入治疗中和治疗后严重并发症回顾分析

目的分析先天性心脏病(先心病)介入治疗中和治疗后严重并发症的发生率、原因及可能的处理。方法对2004年1月至2006年10月187例4种常见先心病介入治疗的患者介入治疗中和治疗后发生的13例严重并发症作回顾性分析。结果严重并发症总发生率为6.95%(13/187),其中动脉导管未闭(PDA)封堵术组为3.92%(2/51),房间隔缺损(ASD)封堵术组为8.89%(4/45),肺动脉瓣球囊成形术(PBPV)组为6.25%(1/16),室间隔缺损(VSD)封堵术组为8.00%(6/75)。结论先心病介入治疗是相对安全的、严重并发症低的介入手术方法,术中、术后应作严密监测,警惕封堵术严重并发症的发生。

Retrospective analysis of severe complications induced by interventional therapy for congenital heart disease

Aim To approach the incidence,cause and possible treatment of severe complications during or after congenital heart disease interventions.Methods Interventional procedures of congenital heart disease were performed in 187 patients from January 2004 to October 2006.We divided them into four groups,among whom 13 patients with severe complications were retrospectively analyzed.Results The overall severe complication rate was 6.95%(13/187),i.e.3.92%(2/51)of PDA group,8.89%(4/45)of ASD group,6.25%(1/16)of PBPV group,and 8.00%(6/75)of VSD group.Conclusion The severe complication rates of interventional therapy for congenital heart disease are low.It is a relatively safe interventional method,yet careful supervision is necessary during or after procedure.