53例婴幼儿先天性心脏病手术治疗分析

目的 探讨婴幼儿先天性心脏病的手术治疗经验.方法 回顾性分析53例手术纠治的婴幼儿先天性心脏病患者的病例资料,其中2例行姑息手术,51例行解剖矫治(其中2例为急诊手术).结果 53例患儿中,1例于术后8 d肺部感染继发多脏器衰竭死亡;术后发生低心排血量综合征3例,肾功能衰竭1例,延迟性心包填塞1例,胸骨哆开1例.结论 婴幼儿先天性心脏病应尽早手术干预,术前诊断、手术时机和方案的选择以及围手术期管理是手术成功的关键.

Analysis of surgical management of 53 infants and children with congenital heart diseases

Objective To explore the experience of surgical management of infants and children with congenital heart diseases. Methods The clinical data of 53 infants and children with congenital heart diseases treated by surgery were retrospectively analysed. Among the 53 patients, 2 underwent palliative operation, and the other 51 were performed anatomic correction, among whom 2 received emergency operation. Results Among the 53 patients, 1 patient died of lung infection complicated with multi-organ dysfunction 8 d after operation. There were 3 cases of low cardiac output syndrome, 1 case of renal failure, 1 case of delayed pericardial tamponade and 1 case of sternal dehiscence after operation. Conclusion Early surgical treatment should be performed on infants and children with congenital heart diseases, and preoperative diagnosis, timing and approach of operation and perioperative management are the keys to successful operations.