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目的总结婴幼儿先天性心脏病的外科手术经验。方法自2000年1月至2004年12月共为133例,年龄5￣36个月,体重6￣15kg的先天性心脏病患儿施行外科手术治疗。全组非体外循环动脉导管结扎术29例;体外循环手术104例,包括室间隔缺损、继发孔房间隔缺损、肺动脉瓣狭窄、部分型房室间隔缺损、部分型肺静脉异位引流、法乐四联症、房间隔缺损并右室流出道梗阻和其他复合畸形。结果全组术后住院死亡6例,死亡率4.5%。术后主要并发症包括低心排综合征、呼吸衰竭、心律失常、肺部感染、出血等。死亡原因包括重度低心排综合征、严重室性心律失常、肺动脉高压危象等。结论心外科、心儿科、麻醉科等人员的密切配合,心内、外科镶嵌治疗成为婴幼儿心脏外科手术成功的重要保证。
Objective To summarize the surgical experience of congenital heart disease in infants and young children. Methods From January 2000 to December 2004 a total of 133 cases of children aged 5 to 36 months, weighing 6 ~ 15kg of children with congenital heart disease surgery. The group of non-cardiopulmonary bypass catheterization in 29 cases; 104 cases of cardiopulmonary bypass surgery, including ventricular septal defect, secondary atrial septal defect, pulmonary valve stenosis, partial atrioventricular septal defect, partial pulmonary venous drainage, Farah Tetralogy of Fallot, atrial septal defect and right ventricular outflow tract obstruction and other complex deformities. Results All the patients were hospitalized after death in 6 cases, the mortality rate was 4.5%. The main postoperative complications include low cardiac output syndrome, respiratory failure, arrhythmia, pulmonary infection, bleeding and so on. Causes of death include severe low cardiac output syndrome, severe ventricular arrhythmia, pulmonary hypertension crisis. Conclusion The close cooperation of cardiac surgery, cardiology and pediatrics, anesthesiology and other personnel, intracardiac and surgical inlay treatment has become an important guarantee for successful cardiac surgery in infants and young children.