摘要
目的总结早期治疗婴幼儿完全性房室间隔缺损的临床经验。方法2007年1月至2012年4月收治完全性房室间隔缺损患儿61例，男32例，女29例，年龄2-36个月，中位数9．5个月，体重4．5～15k，平均（8．7±2．8）kg。60例接受了修补手术，改良单片法37例，双片法23例。另有1例患儿为双心室不对称型，行肺动脉环缩术。结果改良单片法和双片法体外循环时间分别为（105±35）min和（135±41）min，主动脉阻断时间分别为（82±23）min和（94±31）min。围手术期死亡5例，室间隔残余分流6例，Ⅲ度房室传导阻滞4例。随访43例，无远期死亡，房室瓣反流中度以下。结论婴幼儿完全性房室间隔缺损患儿应尽早手术干预，改良单片法和双片法均可取得满意术后效果，前者可明显缩短手术时间。
Objective To summarize our experience on surgical correction of complete atrioven- tricular septal defect （AVSD） in infants. Methods From January 2007 to April 2012, 61 infants who underwent surgical correction for AVSD were enrolled in this study. Their age ranged from 3 to 36 months old （median age, 9. 2 months old）. Their body weight ranged from 4. 5 to 15 kg （mean weight, 8. 7 - 2. 8 kg）. Among these 61 patients, 37 underwent a modified single-patch technique for closure of the AVSD, 23 underwent double patch repair, and the other one patient underwent pulmo- nary artery banding surgery for the unbalanced AVSD. Results Cardiopulmonary bypass duration in modified single-patch operation and double patch operation was 105 - 35 min and 135± 41 min, respec- tively. The time of aorta blocking in modified single-patch operation and double patch operation was 82± 23 rain and 94 ± 31 rain, respectively. Five patients were dead in the perioperative period. Six pa- tients had residual AVSD, and 4 patients had complete atrioventricular block. Forty three patients were followed up. Mild to moderate mitral valve regurgitation was observed in these patients. Conclu- sions Early corrective surgery for the infants with AVSD can get satisfactory results. The modified single-patch technique shortens operating time compared with double patch repair.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第10期721-723,共3页
Chinese Journal of Pediatric Surgery
关键词
先天性心脏病
房室间隔缺损
Congenital heart disease
Atrioventricular septal defect
