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婴儿左向右大分流先天性心脏病的外科治疗
引用本文:李仲智,李晓峰,高玲,郭志和,陆进,高国庆,李胜利. 婴儿左向右大分流先天性心脏病的外科治疗[J]. 中华小儿外科杂志, 2000, 21(2): 95-97
作者姓名:李仲智  李晓峰  高玲  郭志和  陆进  高国庆  李胜利
作者单位:100045,首都医科大学附属北京儿童医院心外科
摘    要:目的 评估婴儿左向右大分流先心病的外科手术治疗的效果。方法 选择≤11个月,危重型左向右大分流先心病59例,Ⅰ期修补58例,分期手术1例,病种为室间隔缺损,房间隔缺损,单心房等。结果 手术病死率3.4%(2/59)。结论 左向右大分流先心病婴儿伴有肺炎,心衰及合并肺动脉高压,经内科治疗无效时应及时手术治疗。

关 键 词:心脏缺损 肺性高血压 婴儿 外科手术
修稿时间:1999-12-03

Surgical treatment for large left-to-right shunting congenital heart disease in infants
LI Zhongzhi,LI Xiaofeng,GAO Ling,et al.. Surgical treatment for large left-to-right shunting congenital heart disease in infants[J]. Chinese Journal of Pediatric Surgery, 2000, 21(2): 95-97
Authors:LI Zhongzhi  LI Xiaofeng  GAO Ling  et al.
Affiliation:LI Zhongzhi,LI Xiaofeng,GAO Ling,et al.Affiliated Beijing Children's Hospital,Capital University of Medical Sciences,Beijing 100045,China
Abstract:Objective To evaluate the surgical outcome of large left to right shunting in congenital heart defects. Methods Fifty nine cases under 11 months of age were operated on from April 1995 to November 1999. The diagnosis included ventricular septal defects,atrial septal defects and single ventricle .Of them, 58 underwent radical operation and 1 palliative operation. Results Overall hospital mortality was 3.4% (2/59). Conclusions Emergency operation is effective when medical managements were unavailable . The preoperative nutritional support, appreciate operative technique, postoperative using of inotropic drug and PGE 1 are the key factors to a successful operation.
Keywords:Heart defects   congenital  Hypertension    pulmonary  Infants
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