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出生后24小时内进行心脏直视手术。

Open heart surgery in the first 24 hours of life.

作者信息

Esposito G, Keeton B R, Sutherland G R, Monro J L, Manners J M

机构信息

Wessex Cardiothoracic Unit, General Hospital, Southampton, UK.

出版信息

Pediatr Cardiol. 1989 Winter;10(1):33-6. doi: 10.1007/BF02328632.

DOI:10.1007/BF02328632
PMID:2704651
Abstract

The results of open heart surgery in infants have steadily improved. The performance of corrective surgery very early in life has thereby been encouraged. We report four patients who underwent successful surgical correction within 24 h of birth. Two patients with total anomalous pulmonary venous drainage and one patient with pulmonary atresia and intact septum were corrected with the aid of profound hypothermia by the combined surface and bypass cooling technique. Cardiopulmonary bypass alone was used for the fourth patient with aortic stenosis. The usual surgical techniques can be applied successfully to infants even within 24 h of life.

摘要

婴儿心脏直视手术的结果一直在稳步改善。因此,鼓励在生命早期进行矫正手术。我们报告了4例在出生后24小时内接受成功手术矫正的患者。2例完全性肺静脉异位引流患者和1例肺动脉闭锁且室间隔完整的患者,借助体表和体外循环联合降温技术,在深度低温的辅助下进行了矫正。第4例主动脉狭窄患者仅采用了体外循环。即使在出生后24小时内,常规手术技术也能成功应用于婴儿。

相似文献

1
Open heart surgery in the first 24 hours of life.出生后24小时内进行心脏直视手术。
Pediatr Cardiol. 1989 Winter;10(1):33-6. doi: 10.1007/BF02328632.
2
Aortic arch interruption associated with patent ductus arteriosus, ventricular septal defect, and total anomalous pulmonary venous connection. Total correction in an 8-day-old infant by means of profound hypothermia and limited cardiopulmonary bypass.
J Thorac Cardiovasc Surg. 1972 Mar;63(3):367-73.
3
Survey of operative congenital heart disease. A review.先天性心脏病手术综述。一篇综述。
Am J Pathol. 1976 Feb;82(2):407-36.
4
Surgical treatment of congenital heart disease during infancy: one- and two-stage techniques.婴儿期先天性心脏病的外科治疗:一期和二期技术
J Cardiovasc Surg (Torino). 1972 May-Jun;13(3):232-7.
5
Advances in the surgical management of congenital heart disease in infants and children.婴幼儿先天性心脏病外科治疗的进展
Cardiovasc Clin. 1981;12(3):127-41.
6
[A case of common pulmonary vein atresia associated with pulmonary atresia, cor biloculare and patent ductus arteriosus].[一例合并肺动脉闭锁、双房心及动脉导管未闭的共同肺静脉闭锁病例]
Nihon Kyobu Geka Gakkai Zasshi. 1987 Oct;35(10):1889-94.
7
[Diagnostic evaluations of 36 surgical patients confirmed by noninvasive technique, mainly by two-dimensional echocardiography].[36例手术患者的诊断评估经无创技术(主要是二维超声心动图)得以证实]
J Cardiogr. 1985 Sep;15(3):877-86.
8
Infradiaphragmatic anomalous pulmonary venous return. Surgical correction in a newborn infant.膈下异常肺静脉回流。新生儿手术矫正。
J Thorac Cardiovasc Surg. 1971 Aug;62(2):301-6.
9
Total anomalous pulmonary venous connection in neonates and young infants: repair in the current era.
Ann Thorac Surg. 1993 Jan;55(1):43-8; discussion 48-9. doi: 10.1016/0003-4975(93)90471-s.
10
Pulmonary atresia and intact ventricular septum.肺动脉闭锁伴室间隔完整
Scand J Thorac Cardiovasc Surg. 1983;17(1):1-28. doi: 10.3109/14017438309102373.

本文引用的文献

1
Open-heart surgery in the first week of life.出生后第一周内的心脏直视手术。
Ann Thorac Surg. 1980 Feb;29(2):130-4. doi: 10.1016/s0003-4975(10)61650-5.
2
Corrective cardiac surgery in infants. A review of 136 patients including the contribution of postoperative ventilation.
Anaesthesia. 1980 Dec;35(12):1149-56. doi: 10.1111/j.1365-2044.1980.tb05071.x.
3
Surgery for congenital heart defects diagnosed with cross-sectional echocardiography.采用超声心动图诊断的先天性心脏缺陷的手术治疗。
Circulation. 1983 Sep;68(3 Pt 2):II129-38.
4
Hypothermic arrest and potassium arrest: metabolic and myocardial protection during elective cardiac arrest.
Circ Res. 1975 Apr;36(4):481-9. doi: 10.1161/01.res.36.4.481.