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目的总结婴幼儿先天性心脏病合并肺动脉高压术后早期在治疗上的经验体会。方法回顾总结2006年1月至2010年1月期间121例先天性心脏病合并肺动脉高压的婴幼儿术后的治疗情况。结果所有轻中度肺动脉高压术后Pp/Ps降至正常,均在术后12h内顺利脱机,病情稳定。18例重度肺高压患儿有5例术后Pp/Ps≥0.75,术后第二天Pp/Ps降至0.45～0.5。16例患者脱机时间2～6d,2例(1.65%)死亡,死亡原因为:低心排1例,肺动脉高压危象1例。
Objective To summarize the experiences of early treatment of congenital heart disease with pulmonary hypertension in infants and young children. Methods The clinical data of 121 infants with congenital heart disease complicated with pulmonary hypertension after January 2006 to January 2010 were retrospectively reviewed. Results All patients with mild to moderate pulmonary hypertension after Pp / Ps dropped to normal, were smoothly within 12h after surgery, stable condition. Pp / Ps≥0.75 in 18 children with severe pulmonary hypertension, Pp / Ps in the second day after operation dropped to 0.45 ~ 0.5. There were 2 patients (2.65% Cause of death: low cardiac output in 1 case, pulmonary hypertension crisis in 1 case.