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近年来对新生儿和婴儿主动脉缩窄的治疗已取得显著进展,手术死亡率很低。目前采用的手术方法很多,本文重点介绍作者应用锁骨下动脉片血管成形术(Subclavian flap angioplasty简称SFA)的治疗经验。病例资料近年该组共治疗年龄在12个月以内的婴儿主动脉缩窄57例,均采用SFA。男39例、女18例,新生儿37例,平均体重3.8 kg。51例伴有包括动脉导管未闭在内的心血管畸形,其中新生儿有35例,6个月以内的婴儿大多数伴有心内缺损,例如室缺、右室双出口、完全性房室通道、大动脉转位伴室缺、左室发育不良等。 44例采用不吸收性血管缝线,其中21例采用连续缝合,23例单纯用间断缝合。最近对14例病儿采用可吸收的单股线Polydioxanone缝合。在近12年期间该组曾治疗1岁以上者69例,采
In recent years, significant progress has been made in the treatment of aortic constriction in newborns and infants, with low operative mortality. There are many surgical procedures currently used, and this article focuses on the authors’ experience in the treatment of Subclavian flap angioplasty (SFA). Case data In recent years, the group of 57 cases of infantile aortic constriction were treated with SFA within the age of 12 months. 39 males and 18 females, 37 newborns, the average body weight of 3.8 kg. Fifty-one cases were accompanied by cardiovascular malformations including patent ductus arteriosus. Among them, 35 cases were neonates. Most infants within 6 months had cardiac defects such as ventricular septum defect, right ventricular double outlet, complete atrioventricular canal , Aortic transposition with ventricular lack of left ventricular dysplasia. Forty-four patients underwent non-absorbable suture, of which 21 were continuous suture and 23 were sutured intermittently. Recently 14 cases of sick children with absorbable single-wire Polydioxanone suture. In the past 12 years, the group had treated 69 patients over the age of 1, mining