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为了提高婴幼儿先天性心脏病手术治疗成活率,回顾分析了116例婴幼儿心脏病手术治疗情况。平均年龄(17.06±5.57)个月,平均体重(8.45±1.37)kg。病种有室间隔缺损合并肺动脉高压61例,法乐四联症12例,动脉导管未闭35例,房间隔缺损2例,完全性大血管错位2例,三房心、完全性肺静脉异位引流、完全性房室管畸形及部分性房室管畸形各1例。除单纯动脉导管未闭外,均在体外循环下行心内直视手术。结果死亡7例,死亡率为6.03%。表明婴幼儿心肌有其特殊性,手术死亡率高,必须在手术时机、心肌保护、体外循环及术后监护诸方面不断改进。
In order to improve the Survival rate of surgical treatment of congenital heart disease in infants and young children, retrospective analysis of 116 cases of infantile cardiac surgery. The average age (17.06 ± 5.57) months, mean body weight (8.45 ± 1.37) kg. There were 61 cases of ventricular septal defect with pulmonary hypertension, tetralogy of Fallot 12 cases, 35 cases of patent ductus arteriosus, atrial septal defect in 2 cases, complete large vascular dislocation in 2 cases, three heart, complete pulmonary venous disease Drainage, complete atrioventricular canal deformity and partial atrioventricular canal in 1 case. In addition to simple patent ductus arteriosus, are under cardiopulmonary bypass surgery. Results of death in 7 cases, the mortality rate was 6.03%. Show that infants and young children have their own special myocardial infarction, high surgical mortality, surgery must be timing, myocardial protection, cardiopulmonary bypass and postoperative care and other aspects of continuous improvement.