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房水平单向活瓣式补片在先天性心脏病并发重度肺动脉高压术中的应用

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2012年第5期
页码:
636-638
栏目:
临床研究
出版日期:
2012-10-25

文章信息/Info

Title:
Application of one-way valved patch in surgical treatment of patients with congenital heart disease with severe pulmonary arterial hypertension
作者:
李树松; 方海宁; 谭 伟; 罗又桥; 曹辉庆; 赖纪昌
(南宁市第三人民医院胸心外科，广西 南宁 530003)
Author(s):
LI Shu-song;  FANG Hai-ning;  TAN Wei;  LUO You-qiao;  CAO Hui-qing;  LAI Ji-chang
(Department of Cardiovascular Surgery, Third Hospital of Nanning, Nanning 530003, Guanxi, China)
关键词:
心脏病; 先天性; 肺动脉高压; 手术治疗
Keywords:
congenital heart disease;  secondary pulmonary hypertension;  surgery
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的:探讨并发重度肺动脉高压的先天性心脏病患者的外科手术方式。方法： 采用房水平单向活瓣补片对48例本病患者进行手术治疗。其中，室间隔缺损30例，房间隔缺损3例，室间隔缺损并发房间隔缺损8例，室间隔缺损伴动脉导管未闭7例。结果： 术后1例（2%）死于低心排综合征。术后早期均有明显低氧血症。术后1周仍出现跨单向活瓣补片分流40例，术后3个月活瓣仍开放10例，术后26个月提示活瓣均关闭，分流消失，经皮血氧均为95%以上，肺动脉压均明显下降。结论： 房水平单向活瓣式补片治疗先天性心脏病并发肺动脉高压，使患者度过术后危险期，提高手术成功率。
Abstract:
AIM:To study the surgical treatment of patients with congenital heart disease (CHD) with severe pulmonary hypertension (PH). METHODS: One-way valved patch was used during surgical treatment for 48 patients with CHD with PH. Patients included represented 30 cases of ventricular septal defect (VSD), three cases of atrial septal defect (ASD), eight cases of VSD with ASD, and seven cases of VSD with patent ductus arteriosus (PDA). RESULTS: One patient died postoperatively due to low cardiac output syndrome. All patients suffered from hypoxia postoperatively. After the first postoperative week, transpatch shunt was observed in 40 patients and after 3 postoperative months, open valves were seen in ten cases. Twenty-six months postoperatively, valves closed and shunting disappeared. Transcutaneous oxygen was >95% and pulmonary artery pressure decreased significantly. CONCLUSION: Application of one-way valved patch in surgical treatment of congenital heart disease with pulmonary hypertension enhances the rate of successful surgeries and more rapid recovery.

参考文献/References

[1]谢育梅.前列地尔对先天性心脏病合并重度肺动脉高压的治疗作用[J].实用儿科临床杂志，2001,16(6):389-391.
[2]Kirklin JW,Rarratt-Boyes BC.Ventricular septal defeet[M]//Kirklin JW,Barratt-Boyes BC.Cardiac Surgery.2nd ed, New York: Churchill Linngslone Inc,1993:749.
[3]罗红鹤,孙培吾,童萃文,等.95例先心病并肺动脉高压的外科治疗[J].中华胸心血管外科杂志,1998,14(1):35-36.
[4]肖得棉,杨 光,谷天祥.室缺并重度肺动脉高压的手术适应症和围术期处理[J].中华胸心血管外科杂志,1998,14(5):294-295.
[5]Novick WM,Gurbuz AT,Watson DC,et al.Double petch closure of vascular septal defect with increased pulmonary vascular reasisance[J].Ann Thorac Surg,1998,66(5):1533-1583.
[6]Zhou AQ,Lai Y,Wei H,et al.Unidirectional valve patch for repair of cardiac sepatal defects with pulmonary hypertension[J].Ann Thorac Surg,1995,60(5):1245-1248.
[7]庞昕炎,李卫华,宋惠民,等.单向活瓣补片在合并重度肺动脉高压的先天性心脏病患者手术治疗中的应用[J].中华医学杂志,2004,84(11):888-890.
[8]Khonsari S,Sintek CF.心脏外科手术技术-安全措施及失误防范[M].周睿,朱洪生，译.上海:上海科学技术出版社,2005:226.

备注/Memo

备注/Memo:
收稿日期：2012-02-09.
作者简介：李树松，主治医师Email:Lishusong@gmail.com
更新日期/Last Update: 2012-11-16