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[1997 - 2000年在萨拉热窝大学临床中心接受治疗的先天性心脏畸形患者回顾]

[Review of patients with congenital heart anomalies treated at the University Clinical Center in Sarajevo 1997-2000].

作者信息

Begić Z, Terzić R, Dinarević S

机构信息

Pedijatrijska klinika, Klinicki centar Univerziteta u Sarajevu.

出版信息

Med Arh. 2000;54(5-6):289-90.

PMID:11219907
Abstract

During April 1997 to October 2000, 65 children (61.5% female and 38.5% male) have been operated at KCU Sarajevo at the Hospital for Cardiac surgery. Diagnostic procedures, preoperative and postoperative treatment have been carried out at Pediatric hospital, Clinical center University of Sarajevo. The average age of establishing the diagnosis was 20 months and 4.5 years was the average age of surgical treatment. The most frequent defects were: Atrial septal defect 27.69%, Tetralogy of Fallot 16.92%, Patent ductus arteriosus 16.92%, Coarctatation of the aorta 7.69%, combination of more simple defects 7.69%, Atrioventricular septal defects 6.15%, Ventricular septal defect 4.61%, Pulmonary stenosis 4.61%, Anomalous pulmonary venous connection 4.61% and the other complex defects 3.07%. Among all cases 10.76% were associated with some of the syndromes. In 86.13% of cases total correction have been performed and palliative in 13.84% of cases. Death rate was 10.76%, and postoperative complications 21.53%. Catheterizations was performed on 14 patients (21.53%), and three of them had therapeutic interventional cardiac catheterization (coil, umbrella, balloon dilatation). The average timing of: preoperative procedures was 3.5 days, postoperative following 7.5 days and intensive care 2.2 days.

摘要

1997年4月至2000年10月期间,65名儿童(61.5%为女性,38.5%为男性)在萨拉热窝KCU心脏外科医院接受了手术。诊断程序、术前和术后治疗均在萨拉热窝大学临床中心的儿科医院进行。确诊的平均年龄为20个月,手术治疗的平均年龄为4.5岁。最常见的缺陷有:房间隔缺损27.69%、法洛四联症16.92%、动脉导管未闭16.92%、主动脉缩窄7.69%、多种简单缺陷组合7.69%、房室间隔缺损6.15%、室间隔缺损4.61%、肺动脉狭窄4.61%、肺静脉异位连接4.61%以及其他复杂缺陷3.07%。在所有病例中,10.76%与某些综合征相关。86.13%的病例进行了根治性手术,13.84%的病例进行了姑息性手术。死亡率为10.76%,术后并发症发生率为21.53%。14名患者(21.53%)接受了心导管检查,其中3人进行了治疗性心脏介入导管检查(线圈、封堵伞、球囊扩张)。术前程序的平均时间为3.5天,术后随访为7.5天,重症监护为2.2天。

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