浙江医学2017，Vol.39Issue(11)：918-921,4.DOI:10.12056/j.issn.1006-2785.2017.39.11.2017-75
肺血减少型复杂先天性心脏病姑息术后介入治疗的临床疗效及对相关参数的影响
Efficacy of interventional therapy in pediatric patients with complex congenital heart disease of diminished pulmonary blood flow after palliative surgery
曾广伟 1尚福军 1康晓军 2牛晓琳 1柳荫 1王翅遥 1陈文生3
作者信息
- 1. 710038 西安,第四军医大学唐都医院心内科
- 2. 西安医学院第二附属医院
- 3. 第四军医大学西京医院心脏外科
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of interventional therapy in pediatric patients with complex congenital heart disease of diminished pulmonary blood flow after palliative surgery.Methods One hundred and forty nine complex congenital heart disease pediatric patients with diminished pulmonary blood flow after palliative surgery were admitted in our hospital from January 2012 to June 2015.All patients received percutaneous balloon pulmonary artery dilatation,the pulmonary transvalvular gradient(PTG),right ventricle systolic pressure(RVSP),pulmonary arterial systolic pressure(PASP),and oxyhemoglobin saturation (SaO2) were measured by right cardiac catheterization before and after the intervention.Patients were followed up for 12 months,pulmonary artery development index (Nakata index,McGoon ratio),SaO2 and PTG were measured by the end of follow-up.Results The interventional procedures underwent smoothly in all 149 patients.There were 3 patients with arrhythmia and 2 patients with fever after operation with a perioperative complication rate of 3.36％.The PTG,RVSP,PASP and SaO2 of patients were significantly improved after operation(P＜0.05);Nakata index,McGoon ratio and SaO2 of patients increased significantly at 1,3,6 and 12 months after operation;and PTG of patients was significantly decreased compared with preoperative value (P＜0.05).Conclusion Interventional therapy after palliative surgery can reduce postoperative complications,and promote pulmonary vascular development and improve ventricular function effectively for children with complex congenital heart disease of diminished pulmonary blood supply.关键词
姑息术后/肺血减少型复杂先天性心脏病/经皮肺动脉球囊扩张术/肺动脉狭窄Key words
Palliative treatment/Complex congenital heart disease patients with diminished pulmonary blood disease/Percutaneous pulmonary artery balloon dilatation/Pulmonary stenosis引用本文复制引用
曾广伟,尚福军,康晓军,牛晓琳,柳荫,王翅遥,陈文生..肺血减少型复杂先天性心脏病姑息术后介入治疗的临床疗效及对相关参数的影响[J].浙江医学,2017,39(11):918-921,4.
