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目的总结室间隔完整型肺动脉闭锁患儿在开胸非体外循环下肺动脉瓣穿刺球囊扩张的镶嵌治疗经验。方法回顾总结1例室间隔完整型肺动脉闭锁行镶嵌治疗肺动脉瓣穿刺球囊扩张术患儿,记录手术资料和术后监护恢复数据。结果患儿术中采用超声引导下开胸非体外循环下穿刺球囊扩张肺动脉瓣。术后患儿血氧饱和度稳定在96%~95%,无球囊扩张相关并发症。术后呼吸机应用47h;ICU时间118 h;术后第15 d顺利出院。结论超声引导下肺动脉瓣球囊扩张术治疗室间隔完整型肺动脉闭锁安全、有效。
Objective To summarize the experience of mosaic therapy of pulmonary valve puncture balloon in patients with intact interventricular septal pulmonary atresia under open-heart surgery without cardiopulmonary bypass. Methods A retrospective review of 1 patient with intact interventricular septum pulmonary atresia in infants treated by pulmonary embolism balloon angioplasty was performed. The surgical data and postoperative monitoring data were recorded. Results Children underwent ultrasound-guided thoracotomy under cardiopulmonary bypass puncture balloon dilation pulmonary valve. Postoperative oxygen saturation in children stable at 96% to 95%, no complications related to balloon dilatation. Postoperative ventilator application 47h; ICU time 118 h; 15 days after the successful discharge. Conclusion Ultrasound - guided pulmonary valvuloplasty is safe and effective for the treatment of complete pulmonary septal block.