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国产封堵器介入治疗室间隔缺损1002例分析

高磊 刘君 郝咏梅 谭慧莲 郑庆厚 邓宝 刘凌 张密林 王震

中国实用内科杂志2013,Vol.33Issue(8):631-634,4.
中国实用内科杂志2013,Vol.33Issue(8):631-634,4.

国产封堵器介入治疗室间隔缺损1002例分析

Interventional therapy for ventrical septal defect with domestic occluders:analysis of 1002 cases

高磊 1刘君 1郝咏梅 2谭慧莲 1郑庆厚 1邓宝 1刘凌 1张密林 1王震1

作者信息

  • 1. 河北医科大学第一医院心内科,石家庄050031
  • 2. 河北医科大学第二医院内分泌科,石家庄050000
  • 折叠

摘要

Abstract

Objective To discuss the incidence,causes,prevention and management of complications associated with interventional therapy for ventrical septal defect (VSD) with domestic occluders.Methods One thousand and two patients with VSD were received interventional therapy.Intraoperative and postoperative complications were observed and followed up.All the patients were treated with domestic occluders.Results The total success rate of interventional therapy was 97.31% (975/1002) and the complication incidence was 13.97% (140/1002).There were 124 cases of cardiac complication,11 cases of vascular complications and 5 cases of other complications.The incidence of severe complications was 1.2% (12/1002),including 5 cases of third degree atrioventricular block,3 cases of severe tricuspid regurgitation,1 case of occluder shedding,1 case of basal ganglia infarction and 2 cases of femoral arterial thrombosis.None of them died from relevant treatment.The follow-up time was 3-54 (averaged 28.3 ± 25.9) months.Conclusion Interventional therapy of VSD is safe and effective and the incidence of complication is low.Correct judgment before operation,accurate manipulation during operation and strict follow-up after operation are effective measures to decrease complications.

关键词

室间隔缺损/介入治疗/并发症

Key words

ventrical septal defect/interventional therapy/complication

分类

医药卫生

引用本文复制引用

高磊,刘君,郝咏梅,谭慧莲,郑庆厚,邓宝,刘凌,张密林,王震..国产封堵器介入治疗室间隔缺损1002例分析[J].中国实用内科杂志,2013,33(8):631-634,4.

基金项目

河北省科技支撑计划项目(编号122761040D-51) (编号122761040D-51)

中国实用内科杂志

OA北大核心CSCDCSTPCD

1005-2194

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