临床小儿外科杂志2018，Vol.17Issue(3)：212-218,7.DOI:10.3969/j.issn.1671-6353.2018.03.011
新生儿危重先天性心脏病的手术治疗结果及围术期处理分析
Surgical treatments and perioperative managements of neonatal critical congenital heart disease
阳广贤 1黄鹏 1刘剑 1邓喜成 1罗金文 1陈仁伟 1杨小晖1
作者信息
- 1. 湖南省儿童医院心胸外科 湖南省长沙市,410007
- 折叠
摘要
Abstract
Objective To summarize the surgical experiences and perioperative managements of neo-natal critical congenital heart disease(CCHD).Methods From January 2014 to September 2017,clinical da-ta were reviewed for 62 CCHD cases including 47 boys and 15 girls.The etiologies included aortic arch disease (n=22)(including 20 aortic coarctaions with ventricular septal defect and 2 interruptions),total anomalous pulmonary venous drainage(n=18),transposition of great arteries(n=10),ventricular septal defect & pul-monary arterial hypertension(n=8),pulmonary artery stenosis(n=3)and aortic stenosis with pulmonary ar-tery stenosis(n=1).One case of pulmonary artery stenosis underwent hybrid procedure while the remainder had radical cardiac surgery by cardiopulmonary bypass.Results Among them,57 cases were discharged while 5 cases died with a mortality rate of 9.7%.And 26 cases were treated by delayed sternal closures.Six cases re-ceived peritoneal dialysis.There were arrhythmia(n=8),diaphragmatic palsy(n=1)and necrotizing entero-colitis(n=1).Conclusion Early intervention for neonatal CCHD may achieve excellent outcomes.Early di-agnosis,optimal timing of surgery,continuous improvements of surgical techniques,cardiopulmonary bypass technology and perioperative managements are essential for improving the prognosis of neonatal CCHD.Establis-hing a multidisciplinary collaborative network is a future trend.关键词
新生儿/危重先天性心脏病/手术/围术期处理Key words
Neonatal/Critical Congenital Heart Disease/Surgery/Periopertative Management引用本文复制引用
阳广贤,黄鹏,刘剑,邓喜成,罗金文,陈仁伟,杨小晖..新生儿危重先天性心脏病的手术治疗结果及围术期处理分析[J].临床小儿外科杂志,2018,17(3):212-218,7.
