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经导管封堵遗传性球形红细胞增多症患儿的房间隔缺损

Transcatheter Closing Atrial Septal Defect in a Child With Hereditary Spherocytosis.

作者信息

Ji Zhixian, Liu Na, Du Zhanhui, Luo Gang, Bing Zhen, Xing Quansheng, Pan Silin

机构信息

Heart Center, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, China.

出版信息

Front Pediatr. 2019 Dec 17;7:506. doi: 10.3389/fped.2019.00506. eCollection 2019.

Abstract

A 3-year-old girl was admitted to our hospital for the correction of atrial septal defect (ASD). Open heart operation with cardiopulmonary bypass is dangerous because the patient also had hereditary spherocytosis, which put her at risk for hemolytic anemia. Therefore, percutaneous transcatheter closure for ASD was chosen and performed successfully, which avoided the erythrocyte damage caused by cardiopulmonary bypass. This is the first time such a case has been reported, and we present an alternative approach for ASD with hereditary spherocytosis.

摘要

一名3岁女孩因房间隔缺损(ASD)矫正术入住我院。由于该患者还患有遗传性球形红细胞增多症,存在溶血性贫血风险,因此在体外循环下进行心脏直视手术具有危险性。所以,选择并成功实施了经皮导管封堵术治疗房间隔缺损,避免了体外循环造成的红细胞损伤。这是首次报道此类病例,我们为患有遗传性球形红细胞增多症的房间隔缺损患者提供了一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fdd/6929411/2c53231d77a6/fped-07-00506-g0001.jpg

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