摘要
目的总结婴幼儿先心病的外科治疗经验。方法回顾性分析,总结2014年1月-2017年12月728例婴幼儿先心病外科手术的资料,男366例,女362例;平均年龄(11.62±6.31)个月(0~36个月),其中25例<1个月、160例1~6个月、246例7~12个月、297例13~36个月;平均体重(7.22±2.21)kg(1.0~15.0 kg),其中135例<5.0kg、490例5.0~10.0kg、103例>10.0kg。根治性手术725例、姑息性手术3例。结果全组治愈708例,死亡20例,手术死亡率2.7%。结论婴幼儿先心病手术治疗效果满意,正确选择手术适应症,符合婴幼儿生理特点的围术期管理是手术成功的关键。
Objective To review the clinical experience of the surgical treatment of congenital heart disease（CHD）in infants. Methods From Jan,2014 to Dec,2017, 728 infants（366 males,362 females） were operated on for their（CHD）. Their ages ranged from 0 to 36 months（11.62 ±6.31 months）, 25 cases were less than 1 month, 160 cases between 1 to 6 months, 246 cases between 7 to 12 months, 297 cases between 13 to 36 months. Their body weight ranged from 1.0 to 15.0 kg（7.22±2.21）kg, 135 cases body weight were less than 5 kg, 490 cases between 5.0 to 10.0 kg, 103 cases were more then 10.0 kg. 725 cases underwent one-stage radical operation, 3 cases underwent palliative approach.Results 708 cases（97.3%） were cured, 20 cases（2.7%） were dead. Conclusion The satisfactory result can be acquired in infantile operation of CHD. The operation succeeding keys are the choice of proper operation. Post-operative intensive care are very important.
作者
曹辛
吴骏
洪伟
陈健
张鸿
高云鹏
尤国宙
Cao Xin;Wu Jun;Hong Wei(Kunming Medical University Affiliated Children＇s Hospital/Kunming Children＇s Hospital Cardiothoracic Surgery,Kunming,Yunnan 650228,Chin)
出处
《云南医药》
CAS
2018年第3期193-195,共3页
Medicine and Pharmacy of Yunnan
