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目的探讨介入治疗动脉导管未闭伴肺动脉高压患儿疗效。方法选择我院2009年12月-2011年12月动脉导管未闭合并肺动脉高压患儿32例,同时排除介入治疗的手术禁忌症患儿。肺动脉小于50mmHg患儿共20例,肺动脉压大于50mmHg患儿共12例。在麻醉情况下,对患儿实施介入治疗。测定肺动脉压小于和大于50mmHg患儿手术治疗前后肺动脉压力改变情况。结果肺动脉压小于和大于50mmHg患儿治疗后收缩压、舒张压、平均压显著低于治疗前,差异有统计学意义(P<0.05)。结论介入治疗动脉导管未闭伴肺动脉高压患儿疗效显著,肺动脉压显著下降,临床症状显著改善,值得借鉴。
Objective To investigate the therapeutic effect of interventional therapy on patent ductus arteriosus and pulmonary hypertension in children. Methods 32 cases of patent ductus arteriosus and pulmonary hypertension in our hospital from December 2009 to December 2011 were selected. At the same time, children with surgical contraindications to interventional therapy were excluded. Pulmonary artery less than 50mmHg a total of 20 cases of patients with pulmonary artery pressure greater than 50mmHg a total of 12 cases. In the case of anesthesia, interventional treatment of children. Pulmonary arterial pressure was measured before and after surgery in children less than and greater than 50mmHg pulmonary artery pressure changes. Results After treatment, the systolic blood pressure, diastolic blood pressure and mean pressure were significantly lower in children with pulmonary arterial pressure less than 50mmHg and before treatment, the difference was statistically significant (P <0.05). Conclusions Interventional treatment of patent ductus arteriosus and pulmonary hypertension in children with significant effect, pulmonary arterial pressure decreased significantly, clinical symptoms significantly improved, it is worth learning.