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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.

PMID:22368671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3232578/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/b17d34d935a6/IPC-9-27-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/cca492ca80d0/IPC-9-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/509a9b849b14/IPC-9-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/0404199e10f2/IPC-9-27-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/299f9fee9735/IPC-9-27-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/47bffa8ccea1/IPC-9-27-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/9e1b2dce9d6e/IPC-9-27-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/8e5d5fc22590/IPC-9-27-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/27f1e3ada447/IPC-9-27-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/b17d34d935a6/IPC-9-27-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/cca492ca80d0/IPC-9-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/509a9b849b14/IPC-9-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/0404199e10f2/IPC-9-27-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/299f9fee9735/IPC-9-27-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/47bffa8ccea1/IPC-9-27-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/9e1b2dce9d6e/IPC-9-27-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/8e5d5fc22590/IPC-9-27-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/27f1e3ada447/IPC-9-27-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/149b/3232578/b17d34d935a6/IPC-9-27-g011.jpg

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本文引用的文献

1
Comparison of suture ligation and clip application for the treatment of patent ductus arteriosus in preterm neonates.早产儿动脉导管未闭治疗中缝线结扎与夹子夹闭的比较。
J Thorac Cardiovasc Surg. 2006 Sep;132(3):672-4. doi: 10.1016/j.jtcvs.2006.04.040.
2
Paediatric video-assisted thoracoscopic clipping of patent ductus arteriosus: experience in more than 700 cases.小儿电视辅助胸腔镜下动脉导管未闭结扎术：700余例经验
Eur J Cardiothorac Surg. 2004 Mar;25(3):387-93. doi: 10.1016/j.ejcts.2003.12.023.
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Ligation of patent ductus arteriosus in premature infants.
保持开放的心态：评估后外侧肋骨骨折婴儿时的认知偏差
Case Rep Pediatr. 2017;2017:5163094. doi: 10.1155/2017/5163094. Epub 2017 Oct 26.
早产儿动脉导管未闭的结扎术。
Ann Thorac Surg. 1981 Aug;32(2):166-72. doi: 10.1016/s0003-4975(10)61026-0.
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Ligation of patent ductus arteriosus in very low birthweight premature neonates.极低出生体重早产儿动脉导管未闭的结扎术。
Thorax. 1985 Jul;40(7):533-7. doi: 10.1136/thx.40.7.533.