早产儿动脉导管未闭的手术闭合
Surgical closure of patent ductus arteriosus in pre-term babies.
作者信息
Valentík P, Omeje Ic, Poruban R, Sagát M, Nosál M
机构信息
Department of Cardiac Surgery, The Slovak Children's Heart center, Limbova 1, 833 51 Bratislava, Slovakia.
出版信息
Images Paediatr Cardiol. 2007 Apr;9(2):27-36.
OBJECTIVES
To present by illustration the surgical options in neonatal PDA closure with emphasis on clip application.
METHODS
Photo/video-documentation of surgical closure of PDA in a neonate by clip application coupled with free-hand drawings showing PDA closure by ligation and division. Review of 38 neonates undergoing surgical PDA closure in our institution between 1998 and 2006.
RESULTS
Overall survival following surgery was 100%. There was one case of residual PDA and three postoperative complications - 2 cases of pneumothorax and one chylothorax.
CONCLUSION
The outcome of surgical closure of PDA in neonates is very good with zero mortality in our series and only few postoperative complications.
目的
通过示例展示新生儿动脉导管未闭（PDA）闭合的手术选择，重点是夹子应用。
方法
通过夹子应用对新生儿PDA手术闭合进行照片/视频记录，并结合徒手绘制的显示通过结扎和切断闭合PDA的图。回顾1998年至2006年在我们机构接受PDA手术闭合的38例新生儿。
结果
手术后总体生存率为100%。有1例残余PDA和3例术后并发症——2例气胸和1例乳糜胸。
结论
新生儿PDA手术闭合的结果非常好，在我们的系列中死亡率为零，术后并发症很少。
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