[心脏瓣膜疾病患儿的机械瓣膜置换术]
[Mechanical valve replacement in children with heart valve diseases].
作者信息
Huang Ri-Mao, Luo Wan-Jun, Chen Sheng-Xi, Jiang Hai-He
机构信息
Department of Cardiothorasic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2007 Feb;32(1):153-5.
OBJECTIVE
To determine the surgical point and technique of artificial mechanical valve replacement in children with heart valve diseases.
METHODS
From Jan. 1989 to Oct. 2005, 63 children under 15 years received mechanical cardiac valve replacement with cardiopulmonary bypass (CPB).
RESULTS
The valve replacement included aortic valve replacement in 20 children, mitral valve replacement in 37 children and combined aortic valve and mitral valve replacement in 6 children.
CONCLUSION
The operation mortality was 7.94%(5/63). The follow-up periods were from 4 months to 204 months. The late mortality was 10.34%(6/58). All the other children were in NYHA class I - II. The operation mortality of children with heart valve replacement is higher than that of adults, but it was very effective.
目的
确定心脏瓣膜病患儿人工机械瓣膜置换的手术要点及技术。
方法
1989年1月至2005年10月，63例15岁以下儿童在体外循环（CPB）下接受人工心脏瓣膜置换术。
结果
瓣膜置换包括20例儿童行主动脉瓣置换，37例儿童行二尖瓣置换，6例儿童行主动脉瓣和二尖瓣联合置换。
结论
手术死亡率为7.94%（5/63）。随访时间为4个月至204个月。晚期死亡率为10.34%（6/58）。其他所有患儿心功能均为纽约心脏协会（NYHA）I - II级。儿童心脏瓣膜置换术的手术死亡率高于成人，但效果显著。
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