我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

婴幼儿左向右大分流先天性心脏病的外科治疗(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第3期
页码:
258-260
栏目:
临床研究
出版日期:
2004-05-01

文章信息/Info

Title:
Repair of large left-to-right shunting the congenital heart disease in infants
作者:
文平; 曹立盛; 郭成中; 丁学前
大连市儿童医院心胸外科，辽宁 大连 116012
Author(s):
WEN Ping;  CAO Li-sheng;  GUO Cheng-zhung; DING Xue-gian
Department of Pediatric Thoracic and Cardiovascular Surgery, Dalian Children's Hospital，Dalian, Liaoling 116012,China
关键词:
心脏缺损; 先天性; 高血压; 肺性
Keywords:
Heart defects; congenital; Hypertension; pulmonary
分类号:
R725.4; R541.1
DOI:
-
文献标识码:
A
摘要:
目的:评估耍幼儿左向右大分流先心病外科手术治疗的效果。方法:回顾分析1999-01-2003-01手术治疗婴幼儿左向右大分流先心病128例。均一期手术，病种为室间隔缺损、房间隔缺损、动脉导管未闭、单心房等。结果:术前的营养支持，术中的精细操作，术后的正性肌力药物及强效肺血管扩张剂PGE,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。随访1个月~3年，全组病例均获得了较好效果。结论:左向右大分流先心病伴有肺炎、心衰及并发肺动脉高压，经内科治疗无效时应及时手术治疗。
Abstract:
AIM:To evaluate the efficacy of large left-to-right shunting repair in infants. METHODS: From January 1999 to January 2003，128 cases received one-staged operation. In this group，ventricular septal defects，atrial septal defects，patent ductus arteriosus and single auricle were involved. RESULTS:The preoperative nutritional，deliberate operative skill，postoperative using of inotropic drug and PGE-1 are the key factors to a successful operation. All patients were followed-up from 2 months to 3 years with satisfactory results. CONCLUSION:The congenital heart disease left-to-right usually accompanys pneumonia，heart failure and pulmonary hypertension.Surgical repair should be taken at once if physical treatment fails.

参考文献/References

[1]苏肇伉，史珍英，孙爱敏，等.小婴儿危重先天性心脏病的急症手术[J].中华小儿外科杂志，1998,19,260-262.

[2]Hoffman TM,Wemovsky G,Atz AM, et al. Prophylactic intravenous use of milrinone after cardiac operation in pediatrics (PRIMAORP) study[J].Am Heart J,2002,143,15一21.

[3]贾国良，张玉顺.积极开展先天性心脏病的介人治疗[J].心脏杂志, 2001, 13(3): 219-220.

[4]李寰，张玉顺，贾国良，等.Ampiatzer封堵器经导管治疗多孔房间隔缺损[J].心脏杂志，2002,14(4),331-33.

[5]代政学，王垒，李统杰，等.应用Ampiatzer封堵器经导管治疗动脉导管未闭开脚术后再通的疗效评价[J].心脏杂志，2003, 15(4):347一349.

备注/Memo

备注/Memo:
收稿日期：2003-4-2
更新日期/Last Update: 2004-05-01