论文部分内容阅读
目的：介绍小儿心内直视手术中合并动脉导管未闭在诊断及手术处理技巧等方面的特殊性。方法：总结１９９６ 年１ 月～１９９８ 年７ 月间共收治先天性心内畸形合并ＰＤＡ 患者７４例，均同期行畸形矫治手术。结果：无手术死亡，均痊愈出院，随访１ａ～１．５ａ，心功能达Ⅰ级，合并动脉导管未闭患者术前漏诊率６．８％ 。结论：对心内直视手术中合并动脉导管患者宜采取同期手术，并存的动脉导管在体外循环并行下闭合是一种较理想的安全术式，同期手术并不增加病死率。
OBJECTIVE: To introduce the special features of diagnosis and surgical treatment of patent ductus arteriosus in open heart surgery in children. Methods: From January 1996 to July 1998, a total of 74 patients with congenital heart malformations complicated with PDA were enrolled, all of whom undergone orthodontics. Results: No operative death was recovered and discharged. The patients were followed up for 1 ~ 1.5 years and the heart function was grade Ⅰ. The preoperative missed diagnosis rate was 6.8% in patients with patent ductus arteriosus. Conclusions: It is advisable to take concurrent surgery in patients undergoing cardiopulmonary bypass with catheterization. The coexistence of patent ductus arteriosus under cardiopulmonary bypass is an ideal safety surgical procedure, and the operation rate does not increase in the same period.