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1岁以内婴幼儿室间隔缺损的外科治疗
引用本文:安琪,赁可,张祥蓉,田子朴.1岁以内婴幼儿室间隔缺损的外科治疗[J].华西医学,2006,21(4):681-682.
作者姓名:安琪  赁可  张祥蓉  田子朴
作者单位:四川大学华西医院胸外科,四川成都,610041
摘    要:目的:总结95例一岁以内婴幼儿室间隔缺损的外科治疗经验。方法:全组共有95例1岁以内室间隔缺损的患儿接受手术,合并有动脉导管未闭18例,房间隔缺损14例,主动脉缩窄8例,主动脉离断1例。结果:手术死亡2例;死亡原因分别为重度心衰,肺动脉高压危相;随访18个月(6,68月),远期无死亡。结论:室间隔缺损合并市心力衰竭。肺动脉高压,或有反复肺部感染的患者,应及早施行手术。

关 键 词:先天性心脏病  室间隔缺损  婴幼儿
文章编号:1002-0179(2006)04-0681-02
收稿时间:2006-02-19
修稿时间:2006年2月19日

Repair of Ventricular Septal Defect in Infancy
AN Qi, LIN Ke, ZHANG Xiang-rong,et al..Repair of Ventricular Septal Defect in Infancy[J].West China Medical Journal,2006,21(4):681-682.
Authors:AN Qi  LIN Ke  ZHANG Xiang-rong  
Institution:Department of Thoracic and Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China
Abstract:Objective:To review the clinical experience on surgical repair of ventricular septal defect in 95 infants.Method:Ninty five infant patients received repair of ventricular septal defect.The associated cardiac anomalies included PDA in 18 cases,atrial septal defect in 14 cases,coarctation of aorta in 8 cases and interruption of aortic arch in 1 case.Result:There were 2 early deaths(0.21%)(one from severe heart failure,and the other from pulmonary hypertension crisis)but no late death.Patients have been followed up for a mean of 18 months(range,6 to 68 months).Conclusion:Patients who had heart failure,pulmonary hypertension or recurrent lung infection should receive operation as early as possible.
Keywords:congenital heart disease  ventricular septal defect  infant
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