摘要
目的总结动脉导管未闭、房间隔缺损和室间隔缺损等简单先天性心脏病介入封堵失败后的外科手术治疗方法和结果。方法回顾性研究2000年1月至2013年12月间因介入封堵并发症而需外科手术的26例先天性心脏病患者，通过电话及门诊复查随访，复查X线胸片、超声心动图和心电图，记录每位患者的随访结果。结果全组无死亡病例。年龄3．0～67．0岁，平均（18．8±17．9）岁。外科手术距离介入手术的中位时间为14天（2小时-5年），中位住院天数10（7—21）天，中位体外循环时间为67（0—206）min，中位阻断时间为40（O～90）min，中位呼吸机时间8．5（2．0—88．0）h，中位ICU时间1（1～6）天。随访7．0—182．4个月，平均（93．0±49．3）个月。手术效果满意。结论先天性心脏病（CHID）的介入封堵治疗总体是安全可靠的，但应严格把握适应证，并由操作熟练的介入医师完成。若出现复杂并发症，尽早进行外科手术干预，手术结果满意。建议介入封堵术后的患者应定期随访。
Objective To summarize the cases of surgical treatment of patients with patent ductus arteriosus （ PDA）, atrial septal defect（ASD） , or ventricular septal defect（VSD） after failure of congenital cardiac catheterization（CCC）. Methods From January 2000 to December 2013 in our hospital 26 patients were retrospectively studied, follow-up results recorded for each patient by telephone and outpatient follow-up review. Results There were no deaths. The average age of the patients was （18.8 ± 17.9 ）（3.0 -67.0） years old. The median time of the intervals between interventions and surgeries were 14 days （2 hours to 5 years）, the median length of hospital stay were 10 days （7 -21 days）, median eardiopulmonary bypass time was 67minutes （0 -206 minutes）, the median blocking time 40 minutes （0 -90 minutes） , the median time of mechanical ventilation 8.5 hours（2.0 - 88.0 hours） , median ICU stay one day（ 1 -6 days）. The average follow-up were（93.0 ±49.3 ） months （7.0 - 182.4 months）. Surgical results were satisfactory. Conclusion Interventional treatment of congenital heart disease （CHD） is safe after all, but should strictly the indications controlled, the operations completed by skilled doctors. If there are complex complications, surgical intervention should be concerned, and the results are satisfactory. Patients after CCC should be followed up regularly.
出处
《中华胸心血管外科杂志》
CSCD
2015年第7期391-393,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
心脏缺损
先天性
介入封堵
心脏外科手术
Heart defcets, congenital Cardiac catheterization Cardiac surgical procedures
