摘要
患儿,女,5岁,2006-11-06南昌大学第二附属医院确诊为室间隔缺损伴膜部瘤形成,体质量17kg。常规建立右股动脉-左心室-室间隔缺损-右心室-右股静脉轨道,送7F输送鞘管至左心室,先选直径6mm对称性封堵器,后因易拉入右心室,改用直径8mm对称性封堵器封堵成功。封堵后第4天出现完全性房室传导阻滞,立即安置临时心脏起搏器并使用甲基强地松龙8mg[0.5mg/(kg·d)]静脉点滴7d,同时每天静脉点滴白蛋白2g/d,营养心肌,共10d,第9天患者恢复左前分支阻滞和完全性右束支阻滞,1个月后心电图无变化。此例结果说明封堵后所发生的并发症是暂时的,非材料宿主生物相容性反应。
One female 5-year-old child （17 kg） with ventricular septal defect accompanied by aneurysms was admitted in Second Affiliated Hospital of Nanchang University on November 6^th, 2006. A track from right femoral artery, left ventricle, interventricular septal defect, right ventricle to right femoral vein was set up to transmit 7F sheathing canal to the left ventricle. One 8-mm symmetry occluder instead of 6 mm, which was easy to be drawn to right ventricle, was employed. On the 4^th day after successful interventional closure, complete atrioventricular block occurred in the patient. She was recovered completely after treated with temporary cardiac pacemaker, 8 mg methylprednisolone [0.5 mg/（kg · d）] for 7 days, and nutrition of myocardium by albumin （2 g/d） for 10 days. On the 9^th day, the left anterior division block and complete atrioventricular block disappeared. Her electrocardiogram did not change one month after treatment. The results of the study indicate that the complications after occlusion are temporal and not biocompatibility responses of host to materials.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2008年第17期3366-3367,共2页
Journal of Clinical Rehabilitative Tissue Engineering Research
