新生儿动脉导管未闭结扎术后结局：一项回顾性队列分析。
Outcomes following neonatal patent ductus arteriosus ligation done by pediatric surgeons: a retrospective cohort analysis.
机构信息
Department of Surgery, Janeway Children's Hospital, St. John's Newfoundland, NL, Canada, A1B 3V6.
出版信息
J Pediatr Surg. 2013 May;48(5):915-8. doi: 10.1016/j.jpedsurg.2013.02.003.
PURPOSE
Patent Ductus Arteriosus (PDA) ligation in premature infants is an urgent procedure performed by some but not all pediatric surgeons. Proficiency in PDA ligation is not a requirement of Canadian pediatric surgery training. Our purpose was to determine the outcomes of neonatal PDA ligation done by pediatric surgeons.
METHODS
We performed a retrospective review of premature infants who underwent PDA ligation by pediatric surgeons in 3 Canadian centers from 2005 to 2009. Outcomes were compared to published controls.
RESULTS
The review identified 98 patients with a mean corrected GA and weight at repair of 29 weeks and 1122 g, respectively. There were no intraoperative deaths. The 30-day and inhospital mortality rates were 1% and 5%. Mortality and morbidity were comparable to the published outcomes.
CONCLUSIONS
This study documents that a significant number of preterm infant PDA ligations are safely done by pediatric surgeons. To meet the Canadian needs for this service by pediatric surgeons, proficiency in PDA ligation should be considered important in pediatric surgery training programs.
目的
动脉导管未闭（PDA）结扎术在早产儿中是一项紧急手术，由部分而非所有小儿外科医生进行。小儿外科培训并不要求掌握 PDA 结扎术。我们的目的是确定由小儿外科医生进行的新生儿 PDA 结扎术的结果。
方法
我们对 2005 年至 2009 年期间加拿大 3 个中心由小儿外科医生进行 PDA 结扎的早产儿进行了回顾性研究。将结果与已发表的对照进行比较。
结果
该研究共纳入 98 例患者，平均校正胎龄和修复时体重分别为 29 周和 1122 克。术中无死亡。30 天和住院死亡率分别为 1%和 5%。死亡率和发病率与已发表的结果相当。
结论
本研究表明，大量早产儿的 PDA 结扎术由小儿外科医生安全完成。为了满足加拿大对小儿外科医生提供这项服务的需求，小儿外科学培训计划中应考虑将 PDA 结扎术的熟练程度作为重要内容。
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