婴幼儿介入性球囊导管插入术的早期并发症
Early complications of interventional balloon catheterisation in infants and children.
作者信息
Booth P, Redington A N, Shinebourne E A, Rigby M L
机构信息
Department of Paediatric Cardiology, Royal Brompton and National Heart Hospital, London.
出版信息
Br Heart J. 1991 Feb;65(2):109-12. doi: 10.1136/hrt.65.2.109.
Interventional balloon catheterisation is now the recommended procedure for several congenital heart defects. The overall complication rate in the first 160 children (median age 3 years) to undergo balloon intervention (excluding balloon atrial septostomy) at the Brompton Hospital was 24% (14% excluding haemorrhage and including three deaths (1.9%]. Most complications were related to vascular problems at the site of cardiac catheterisation. Complications were more common in the younger patient, especially neonates, and also in procedures that were ultimately unsuccessful. Most complications were transient and usually had no long term effects. Improvements in equipment design and technical expertise may reduce morbidity from these procedures.
介入性球囊导管插入术目前是几种先天性心脏缺陷的推荐治疗方法。在布朗普顿医院接受球囊介入治疗（不包括球囊房间隔造口术）的首批160名儿童（中位年龄3岁）中，总体并发症发生率为24%（不包括出血为14%，包括3例死亡（1.9%））。大多数并发症与心导管插入部位的血管问题有关。并发症在较年轻的患者中更常见，尤其是新生儿，在最终未成功的手术中也是如此。大多数并发症是短暂的，通常没有长期影响。设备设计和技术专长的改进可能会降低这些手术的发病率。
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