Abstract
目的 探讨在婴儿、新生儿年龄段先天性心脏病心内直视手术的可行性及疗效评估.方法对208例先心病患儿实施了心内直视手术;手术年龄3d～12个月,平均(7.41±3.67)个月,其中新生儿17例,1～3个月19例,3～6个月41例,6～9个月67例,9～12个月64例.体重3～11kg,平均(7.46±3.39)kg.男135例,女73例,手术病种:室间隔缺损合并重度肺动脉高压类155例(74.5%),其余为D-TGA、PA(IVS)、TAPVC等青紫复杂性先心病.结果全组手术死亡12例,病死率为5.9%,年龄小、畸形复杂矫治不完全,术后低心排(5例),呼吸道病变(4例)、术后顽固出血(3例)是导致死亡的主要因素.结论手术治疗是拯救婴儿、新生儿高危复杂先心病的积极、有效的手段.随着麻醉、体外循环、监护技术、手术器械材料的进一步改进,手术存活率有望进一步提高。
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