中国现代手术学杂志2013，Vol.17Issue(3)：199-202,4.
婴幼儿先天性气管狭窄合并先天性心脏病一期手术纠治
Onestage Surgical Intervention of Congenital Tracheal Stenosis Combined Congenital Heart Disease in Infants and Children
摘要
Abstract
Objective To assess the effect and experience on onestage surgical repair of congenital tracheal stenosis combined congenital heart disease.Methods The clinical data of 12 cases suffered congenital cardiac disease and congenital tracheal stenosis was analyzed retrospectively.Their average age was 15.75 months and the average weight was 9.38 kg.All cases were performed corrective surgery of congenital cardiac disease and tracheoplasty under mild hypothermic cardiopulmonary bypass or low temperature at the same time.Results The surgical operation was successfully accomplished in all 12 cases,including Slide method in 10 cases and the end to end anastomosis method in 2 cases.The postoperative complication was pneumonia in 4 cases,increased airway secretions in 5 cases,airway hyper-reaction in 4 cases,and the growth of granulation tissue in 3 cases.Two cases died of respiratory failure associated with growth of granulation tissue.The other cases were restored well.Conclusions Treatment of congenital tracheal stenosis is still difficult in infants and children.Slide method is currently the best surgical procedure for main tracheal stenosis,particularly suitable for long segment and diffuse tracheal stenosis.However,the patients with congenital tracheal stenosis still need comprehensive treatment with the center of tracheoplasty.关键词
气管狭窄,先天性/心脏缺损,先天性/气管成形术/婴儿/儿童Key words
tracheal stenosis, congenital/heart defects, congenital/tracheoplasty/infant/child分类
医药卫生引用本文复制引用
薛邦德,徐志伟,梁蓓蓓,王顺民,朱丽敏..婴幼儿先天性气管狭窄合并先天性心脏病一期手术纠治[J].中国现代手术学杂志,2013,17(3):199-202,4.基金项目
国家自然科学基金项目资助(30972960) （30972960）
