【摘要】 目的 评估婴儿左向右大分流先心病的外科手术治疗的效果。方法 选择年龄≤11个月，危重型左向右大分流先心病59例，I期修补58例，分期手术1例。病种为室间隔缺损、房间隔缺损、单心房等。结果 手术病死率3.4%（2/59）。结论 左向右大分流先心病婴儿伴有肺炎、心衰及合并肺动脉高压，经内科治疗无效时应及时手术治疗。术前的营养支持、术中的精细操作以及术后的正性肌力药物及强效肺血管扩张剂前列腺素E1的合理使用、持续静注速尿,维持水电解质平衡是手术成功的关键因素。
Surgical treatment for large left-to-right shunting congenital heart disease in infants
LI Zhongzhi, LI Xiaofeng, GAO Ling, et al
（Affiliated Beijing Children's Hospital, Capital University of Medical Sciences， Beijing 100045, China）
【Abstract】 Objective To evaluate the surgical outcome of large left-to-right shunting in congenital heart defects.Methods Fifty-nine cases under 11 months of age were operated on from April 1995 to November 1999. The diagnosis included ventricular septal defects,atrial septal defects and single ventricle .Of them, 58 underwent radical operation and 1 palliative operation.Results Overall hospital mortality was 3.4%(2/59).Conclusions Emergency operation is effective when medical managements were unavailable . The preoperative nutritional support, appreciate operative technique, postoperative using of inotropic drug and PGE-1 are the key factors to a successful operation.
【Key words】 Heart defects， congenital； Hypertension ， pulmonary； Infants
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