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出生后第一年的心脏手术:对先天性心脏病婴儿体重增加的影响。

Cardiac surgery in the first year of life: the effect on weight gains of infants with congenital heart disease.

作者信息

Sholler G F, Celermajer J M

出版信息

Aust Paediatr J. 1986 Nov;22(4):305-8. doi: 10.1111/j.1440-1754.1986.tb02154.x.

DOI:10.1111/j.1440-1754.1986.tb02154.x
PMID:3566679
Abstract

Forty-seven infants with ventricular septal defect (n = 17), tetralogy of Fallot (n = 7) and transposition of the great arteries (n = 23) who had 'corrective' surgery in the first year of life were reviewed with respect to birthweight and pre- and postoperative growth. The mean birthweight for each group was below that of the standard population. There was an overall decrease in growth velocity pre-operatively which was reversed after surgery. At follow up, 12-18 months later (means), most infants had regained at least their birthweight percentile, while the group with ventricular septal defect exceeded it. Consideration is given to the pathophysiological mechanisms contributing to these observations.

摘要

对47例在出生后第一年内接受了“矫正”手术的室间隔缺损(n = 17)、法洛四联症(n = 7)和大动脉转位(n = 23)的婴儿进行了出生体重以及术前和术后生长情况的回顾性研究。每组的平均出生体重均低于标准人群。术前生长速度总体下降,术后则逆转。在术后12 - 18个月(平均)随访时,大多数婴儿至少恢复到了其出生体重百分位数,而室间隔缺损组的婴儿超过了这一水平。文中对导致这些观察结果的病理生理机制进行了探讨。

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引用本文的文献

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Arch Dis Child. 1993 Feb;68(2):158-60. doi: 10.1136/adc.68.2.158.