论文部分内容阅读
目的探讨10kg以下婴幼儿室间隔缺损外科治疗的经验。方法对166例10kg以下婴幼儿室间隔缺损的手术治疗进行总结。患儿年龄2~34个月,平均(8.52±7.66)个月,体重4~10kg,平均(6.52±1.18)kg。患儿术前均行超声心动图检查,均在体外循环下完成手术。结果全组手术死亡2例(1.2%),手术死亡原因是肺动脉高压危象和急性肾功能衰竭。术后主要并发症为肺部感染、心律紊乱和低心排出量综合征。164例随访2~50个月,患儿恢复良好,无并发症和死亡。结论低体重婴幼儿室间隔缺损应尽早手术。术中加强心肌保护,提高手术技巧,术后加强呼吸道护理,防止并发症是手术治疗成功的关键。
Objective To investigate the experience of surgical treatment of ventricular septal defects in infants under 10kg. Methods The surgical treatment of 166 cases of infants with ventricular septal defect below 10kg was summarized. Children aged 2 to 34 months, with an average of (8.52 ± 7.66) months, body weight 4 ~ 10kg, an average of (6.52 ± 1.18) kg. Children underwent echocardiography before surgery, are undergoing surgery under cardiopulmonary bypass. Results The whole group died of surgery in 2 cases (1.2%). The cause of death was pulmonary hypertension crisis and acute renal failure. The main postoperative complications were pulmonary infection, arrhythmia and low cardiac output syndrome. 164 cases were followed up for 2 to 50 months. The children recovered well without complication and death. Conclusion Low birth weight infants with ventricular septal defect should be operated as soon as possible. Surgery to strengthen myocardial protection and improve surgical skills, postoperative respiratory care to strengthen and prevent complications is the key to the success of surgical treatment.