摘要
目的 探讨手术治疗室缺合并重度肺高压的有效方法。方法 手术前静脉注射前列腺素E 1一周,术中应用顺单项活瓣修补室间隔缺损,术后再应用前列腺素E 1两周;同时,用彩超复查了解单项活瓣的分流作用。结果 术毕12例自动复跳,9例电除颤1－8次（5－20 J）后复跳。二次插管4例。围术期死亡两例,余19例术后彩超跟踪检查,其中7例可见到明显右向左通过活瓣的血流,时间持续3－17d后关闭;右束支传导阻滞5例。结论 顺单项活瓣补片同时前列腺素E 1静脉注射是一种治疗室缺并重度肺高压的有效方法。
Objective To study the effective surgical method for the treatment of ventricular septal defects （ VSD ） with severe pulmonary hypertension （ PH ）. Methods ① Prostaglandin E1 （ PGE1 ） can be used one week before the operation and two weeks after the operation. ② Upward - unidirectional valve patch （UUVP） are used to repair the VSD. ③Shunt time of UUVP can be known by echocardiography. Results 2 cases were dead in the early postoperative period, the other 19 cases survived well except 5 cases which were remained with right bond - branch - block （RBBB）. Conclusion Postoperative right ventricular failure can be treated effectually by using UUVP and PG E1.
出处
《医药论坛杂志》
2007年第6期4-6,共3页
Journal of Medical Forum
关键词
室间隔缺损
肺动脉高压
单向活瓣
前列腺素E1
Ventricular septal defect
Pulmonary hypertension
Upward - unidirectional valve patch
Prostaglandin E1
