Xu Hua-Ping, Gao Wei, Zhou Ai-Qing
Shanghai Children's Medical Center, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200127, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2006 Feb;8(1):21-3.
Cardiac catheterization is rarely performed in neonates in China. The medical records of 26 neonates who underwent cardiac catheterization in Shanghai Children's Medical Center from June 1994 to June 2004 were reviewed. These infants weighed 2300 to 4500 g (mean 3 400 +/- 500 g). Postnatal age ranged from 5 to 28 days (mean 15.2 +/- 8.7 days). Right heart ventricle angiography was performed in 24 cases, left heart ventricle angiography in 20 cases and pulmonary angiography in 6 cases. Balloon aortic septostomy (BAS) was performed in 10 cases. Twenty cases were diagnosed with complex cyanotic cardiovascular malformations and 4 with acyanotic heart disease. The implantation of a temporary cardiac pacemaker was performed in 2 cases. All diagnostic and interventional procedures were successfully performed. The catheterization-related complications occurred in 15.3% of the 26 cases, but without mortality. In conclusion, cardiac catheterization is an accurate and safe method for diagnosing complex congenital heart diseases in neonates. Interventional catheterization is useful in the treatment of complex congenital heart malformations.
在中国，新生儿很少进行心导管插入术。回顾了1994年6月至2004年6月在上海儿童医学中心接受心导管插入术的26例新生儿的病历。这些婴儿体重为2300至4500克（平均3400±500克）。出生后年龄为5至28天（平均15.2±8.7天）。24例行右心室造影，20例行左心室造影，6例行肺动脉造影。10例行球囊主动脉瓣造口术（BAS）。20例诊断为复杂性青紫型心血管畸形，4例为非青紫型心脏病。2例行临时心脏起搏器植入术。所有诊断和介入操作均成功完成。26例中有15.3%发生了与导管插入术相关的并发症，但无死亡病例。总之，心导管插入术是诊断新生儿复杂性先天性心脏病的一种准确且安全的方法。介入性导管插入术在治疗复杂性先天性心脏畸形方面是有用的。
