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目的 评估婴儿左向右大分流先心病的外科手术治疗的效果。方法 选择年龄≤ 11个月 ,危重型左向右大分流先心病 5 9例 ,I期修补 5 8例 ,分期手术 1例。病种为室间隔缺损、房间隔缺损、单心房等。结果 手术病死率 3.4% (2 / 5 9)。结论 左向右大分流先心病婴儿伴有肺炎、心衰及合并肺动脉高压 ,经内科治疗无效时应及时手术治疗。术前的营养支持、术中的精细操作以及术后的正性肌力药物及强效肺血管扩张剂前列腺素E1的合理使用、持续静注速尿 ,维持水电解质平衡是手术成功的关键因素。
Objective To assess the effect of surgical treatment of left-to-right major shunt congenital heart disease in infants. Methods A total of 59 patients with severe left-right large shunt congenital heart disease, 58 cases of stage I repair and 1 case of staging were selected. Diseases for ventricular septal defect, atrial septal defect, single atrial and so on. Results The operative mortality rate was 3.4% (2/59). Conclusion Left-to-right large shunt congenital heart disease infants with pneumonia, heart failure and pulmonary hypertension, medical treatment should be timely surgical treatment ineffective. Preoperative nutritional support, intraoperative fine operation and postoperative inotropic drugs and potent pulmonary vasodilator prostaglandin E1 rational use of sustained intravenous furosemide to maintain water and electrolyte balance is the key to the success of the operation .