再次开胸手术治疗先天性心脏病患者200例效果分析
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2016年第4期
- 页码:
- 454-456,463
- 栏目:
- 临床研究
- 出版日期:
- 2016-04-01
文章信息/Info
- Title:
- Result analysis of 200 repeat sternotomies in pediatric cardiac operations
- Author(s):
- YIN Zhao-hua; YAN Jun; LI Shou-jun; LI Dian-yuan; WANG Qiang
- (Children’s Center, Fuwai Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100037, China)
- Keywords:
- repeat sternotomy; congenital heart disease; major injury
- 分类号:
- R541.1
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的 分析和总结再次开胸治疗先天性心脏病的外科技术和和临床结果。方法 回顾分析2012年1月~2014年1月阜外医院小儿中心再次开胸手术治疗先天性心脏病患儿200例的临床资料。结果 本组患儿手术均顺利完成，手术死亡2例，与同期首次正中开胸手术死亡率比较无显著差异。年龄0.6~16.8（5±3）岁，体质量5~112（18±10）kg，体外循环时间37~442（143±64）min，主动脉阻断时间21~222（89±41）min。发生重大损伤7例，本亚组无手术死亡。结论 再次开胸手术治疗先天性心脏病相对安全。开胸过程中发生的重大损伤不增加患儿的手术死亡率。
- Abstract:
- AIM To analyze the surgical technique and clinical results of repeat sternotomy in pediatric cardiac surgery. METHODSClinical data of 200 repeat median sternotomies from January 2012-January 2014 in our pediatric cardiac center were analyzed retrospectively. RESULTSSurgical procedures for the 200 cases were all completed and operative mortality occurred in two patients. Median age and weight were, respectively, 5.2 (0.6-16.8) years and 18.1 (5-112) kg. Time for cardiopulmonary bypass and aortic clamp was, respectively, 142.6 (37-442) min and 89.2 (21-222) min. There were seven major injuries and no deaths in the subgroup. No statistical difference was found in the operative mortality major injury group and no major injury group. CONCLUSIONRepeat sternotomy in pediatric cardiac surgeries is relatively safe. Major injury during repeat sternotomy is not associated with increased risk of operative mortality.
参考文献/References
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备注/Memo
- 备注/Memo:
- 收稿日期：2015-02-09.
作者简介：尹朝华，主治医师，博士 Email：cams_yinzhaohua@sina.com
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