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常温体外循环心脏跳动中矫治婴幼儿先心病35例(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第3期
页码:
250-251,254
栏目:
临床研究
出版日期:
2004-05-01

文章信息/Info

Title:
On-pump under normalthermic beating heart procedures for congenital heart disease in infant
作者:
宿学家1; 张志勇1; 郭梦和1; 孙新1; 朱斌1; 陈克彪1; 公斌1; 林庆录2; 李松龄1
解放军第88医院:1.心胸外科，2.麻醉科，山东 泰安 271000
Author(s):
SU Xue-jia1; ZHANG Zhi-yong1; GUO Meng-he1; SUN Xin1; ZHU Bin1; CHEN Ke-biao1; GONG Bin1; LIN Qing-lu2; LI Song-ling1
1.Department of Thorac-cardiovascular Surgery，88 Hospital of PLA，Tai'an，Shandong 271000, China
关键词:
心肺转流术; 常温; 心脏不停跳; 心脏缺损; 先天性; 婴幼儿
Keywords:
cardiopulmonary bypass; normalthermic; beating-heart; heart defects; congenital; infant
分类号:
R654.2
DOI:
-
文献标识码:
A
摘要:
目的:观察常温体外循环心脏跳动中矫治婴幼儿先天性心脏病的疗效。方法:4月~3岁要幼儿先天性心脏病患儿:35例，采用常温体外循环在心脏跳动中进行心内直视修补手术。结果:全组无1例早期死亡，Ⅲ°房室传导阻滞2例，无低心排、肺动脉高压危象、呼吸衰竭需气管切开病例，痊愈出院35例。结论:在婴幼儿先天性心脏病心内直视修补手术中采用常温体外循环心脏不停跳方法是可行、可靠的。
Abstract:
AIM:To observe the procedures for congenital heart disease in infant with on-pump under the normal temperature beating heart. METHODS:35 infants with congenital heart diseases，aged from 4 months to 3 years，were operated on with on-pump under normal temperature beating heart. RESULTS:No operative death occurred to any in case. There were 2 cases with the third-degree AVB. Nor did low cardio-output syndrome and crisis of pulminoary hypertension and tracheotomy happen case. All cases recovered. CONCLUSION:On-pump beating heart technique is particularly suitable for infant with congenital heart diseases.

参考文献/References

[1] William G, Ivan M, Robet J, et a1. Warm induction blood cardioplegia in the infant[J].J Thorac Cardiovasc Surg,1990,100(6), 896-898.

[2] 易定华，汪俐，孙国成，等.耍幼儿心脏病454例的外科治疗[J].第四军医大学学报，2000,21(5),563.

[3] Lichenstein SV, Ashe KA, Dalati HE, et al. Warm heart surgery[J].J Thorac Cardiovasc Srgery,1991,101(20):269.

[4] 林辉，何魏.心脏不停跳心内直视手术的临床研究(附1106例报告)[J].中华胸心血管外科杂志，2001,17(6),129-131.

[5] Ranucci M, Soro G, Frigiola A, et al. Normaothermic perfusion and lung function after cardiopulmonary bypass,effects in pulmonary risk patients[J].Perjusion,1997,12(5),309-315.

[6] 习陈林，肖颖彬，王学锋，等.浅低沮体外循环心脏跳动中手术矫治先心病合并重度肺动脉高压[J].第三军医大学学报，2001 ,23(5),505-507.

备注/Memo

备注/Memo:
收稿日期：2003-8-22
更新日期/Last Update: 2004-05-01