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目的总结在新生儿监护病房(N ICU)床旁施行早产儿动脉导管未闭(PDA)外科手术的经验。方法回顾性分析2009年10月至2011年5月35例(内科保守治疗无效)床旁行PDA结扎和(或)钳夹术的患儿术前、术中及术后转归情况。患儿体质量最小的仅有720g。结果所有患儿无术中大出血及手术死亡。术后1例出现喉返神经损伤,2例不能脱离呼吸机而死亡,其余均痊愈出院。结论早产儿PDA经内科保守治疗无效或存在药物治疗禁忌的情况下,均应行PDA结扎和(或)钳夹术,手术治疗效果肯定。NICU可满足床旁PDA手术。
OBJECTIVE: To summarize the experience of performing preoperative patent ductus arteriosus (PDA) surgery at the bedside of the neonatal intensive care unit (N ICU). Methods A retrospective analysis was performed on the outcomes of preoperative, intraoperative and postoperative follow-up of 35 cases of PDA with ligation and / or clamp in the bedside from October 2009 to May 2011. Children with the smallest body weight of only 720g. Results All patients had no major intraoperative bleeding and surgical death. One case had recurrent laryngeal nerve injury after operation, 2 cases died without ventilator and the rest were cured. CONCLUSIONS: PDA ligation and / or forceps clamping should be performed in preterm infants with conservative medical treatment or incompatibility with drugs. The surgical treatment should be affirmed. NICU can meet the bedside PDA surgery.