| 8kg以下婴儿室间隔缺损伴肺动脉高压手术治疗 |
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| 引用本文： | 郑景浩 徐志伟. 8kg以下婴儿室间隔缺损伴肺动脉高压手术治疗[J]. 中华胸心血管外科杂志, 1997, 13(5): 260-261 |
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| 作者姓名： | 郑景浩 徐志伟 |
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| 作者单位： | 上海第二医科大学附属新华医院小儿心胸外科 |
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| 摘 要： | 为提高小婴儿室缺伴肺动脉高压的手术疗效，总结１６例８ｋｇ以下室间隔缺损（室缺）伴肺动脉高压婴儿行急诊手术修补室缺的经验。其中１４例在深低温停循环下进行，手术效果满意；术后死亡１例（６％）。作者认为，婴儿巨型室缺应尽早手术治疗为宜，深低温停循环方法尤为适合；术后强调持续保持病婴镇静及呼吸道通畅，防止肺高压危象的发生。
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| 关 键 词： | 婴儿 室间隔缺损 手术 肺动脉高压 |
Surgical Management of Ventricular Septal Defect with Pulmonary Hypertension in lnfants Weighing Less Than 8kg |
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| Zheng Jinghao,Xu Zhiwei,Su Zhaohang,et al.. Surgical Management of Ventricular Septal Defect with Pulmonary Hypertension in lnfants Weighing Less Than 8kg[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 1997, 13(5): 260-261 |
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| Authors: | Zheng Jinghao Xu Zhiwei Su Zhaohang et al. |
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| Affiliation: | Zheng Jinghao,Xu Zhiwei,Su Zhaohang,et al.Department of Pediatric Cardiothoracic Surgery,Xinhua Hospital,Shanghai Second Medical University,Shanghai 200092 |
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| Abstract: | Aim:To evaluate the surgical outcome of repair of ventricular septal defect(VSD)with pulmonary hypertension(PH)in infants weighing <8Kg.Method:Sixteen infants weighing <8kg received emergency operation for their VSD PH.Deep hypothermic circulatory arrest(DHCA) was employed in 14 cases.Result:The hospital mortality was 6%.The ratio of pulmonary artery pressure and arterial systolic pressure(Pp/Ps)dropped significantly after surgery.Conclusion:Early surgical intervention is the only way to treat large VSD PH and DHCA should be used during surgery.Proper perioperative management is an important factor influencing surgical outcome. |
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| Keywords: | Ventricular septal defect Pulmonary hypertension Emergency operation |
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