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动脉导管未闭(PDA)为常见的先天性心脏病。1939年Gross等首先采用外科结扎治疗获得成功。1967年Porstmann采用泡沫塑料塞子经导管堵塞该症,但由于仅适用于年长儿及成人,塞子和动脉导管直径匹配要求高、损伤大及并发症发生等原因,该法未被普遍接受。1979年Rashkind用伞状堵塞器关闭动脉导管首先应用于临床,其装置的材料及方法经不断改进。国外应用报告在增多,国内尚未见报告。现将我院应用Rashkind法堵塞PDA并随访已逾1年的1例报告如下。
Patent ductus arteriosus (PDA) is a common congenital heart disease. In 1939 Gross et al first achieved success with surgical ligation. Porstmann used a plug of foam to plug the catheter in 1967, but it is not universally accepted because it is only suitable for older children and adults, and has high demands on plug and duct diameter matching, large injuries and complications. 1979 Rashkind with umbrella-shaped plug closure of the patent ductus arteriosus first clinical application, the device materials and methods of continuous improvement. There are more foreign application reports, but no reports have been reported in China. Now our hospital application of Rashkind PDA blocked and follow-up more than 1 year report of the following.