García Heladia, Ramos-Jiménez Aurelia, Villegas-Silva Raúl, Rodríguez Lydia, Vera-Canelo Manuel
Unidad de Cuidados Intensivos Neonatales, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social.
Rev Invest Clin. 2002 Jul-Aug;54(4):311-9.
To report survival of newborns with congenital heart disease who underwent cardiac surgery during neonatal period.
Descriptive, ambispective.
Neonatal Intensive Care Unit (NICU), Hospital de Pediatría, Centro Médico Nacional Siglo XXI.
We studied 74 newborns with congenital heart defects who underwent corrective surgery, palliative surgery or interventional techniques and received preoperative and postoperative care in NICU. Premature patients with patent ductus arteriosus were excluded.
The following median values were found: birth weight was 2,862 g, gestational age was 39 weeks, onset of symptoms was 1 day, age at surgery was 14.5 days and postoperative hospital stay was 9 days. Most frequent congenital heart defects were single-ventricle, transposition of the great arteries and hypoplastic right heart. Fifty percent of surgeries were corrective, 46% were palliative and 4% were interventional techniques. Global survival was 51%, for curative surgery was 43% and for palliative surgery was 58%. Only 3 patients underwent interventional cardiology, 2 of them died (survival 33%).
Global survival in newborns who underwent cardiac surgery is lower in comparison with other studies. Survival is higher in children with palliative surgery in comparison with those who underwent corrective surgery.
报告在新生儿期接受心脏手术的先天性心脏病新生儿的存活率。
描述性、双向性研究。
国立二十一世纪医学中心儿科医院新生儿重症监护病房（NICU）。
我们研究了74例患有先天性心脏缺陷的新生儿，他们接受了矫正手术、姑息手术或介入技术治疗，并在NICU接受了术前和术后护理。排除患有动脉导管未闭的早产儿。
得出以下中位数：出生体重为2862克，胎龄为39周，症状出现时间为1天，手术年龄为14.5天，术后住院时间为9天。最常见的先天性心脏缺陷是单心室、大动脉转位和右心发育不全。50%的手术为矫正性手术，46%为姑息性手术，4%为介入技术。总体存活率为51%，根治性手术为43%，姑息性手术为58%。仅3例患者接受了介入心脏病学治疗，其中2例死亡（存活率33%）。
与其他研究相比，接受心脏手术的新生儿总体存活率较低。与接受矫正手术的儿童相比，接受姑息性手术的儿童存活率更高。
