Mortier E, Ongenae M, Vermassen F, Van Aken J, De Roose J, Van Haesebrouck P, Vandeveire B, Rolly G
Department of Anaesthesia, University Hospital, Gent, Belgium.
Acta Chir Belg. 1996 Nov-Dec;96(6):266-8.
Preterm infants undergoing surgical closure of patent ductus arteriosus are usually critically ill and are suffering from many concomitant diseases. The high risk of increased morbidity in transferring them from the neonatal intensive care unit (NICU) to a distant operating room is generally recognized. For this reason we report our experience in 33 premature infants with patent ductus arteriosus who have been operated in the NICU over a six-year period. There were no operative or immediate postoperative deaths and the 30 days hospital mortality was 6%. Based upon these findings we can confirm that operative closure of PDA can be performed safely in the NICU.
接受动脉导管未闭手术闭合的早产儿通常病情危急，且患有多种伴随疾病。将他们从新生儿重症监护病房（NICU）转运至远处手术室时发病率增加的高风险是普遍公认的。因此，我们报告了6年间在NICU为33例动脉导管未闭早产儿进行手术的经验。术中及术后即刻均无死亡，30天住院死亡率为6%。基于这些发现，我们可以确认在NICU安全地进行动脉导管未闭的手术闭合是可行的。
