论文部分内容阅读
目的 探讨学龄前儿童瓣膜疾患行瓣膜成形术的疗效。方法 总结 1990年 1月～1998年 4月收治的学龄前儿童瓣膜疾患 2 83例 ,男 130例 ,女 15 3例。年龄 2个月～ 6岁 ,平均 3.0 5岁 ,其中≤ 1岁 2 2例 (7.77% ) ,≤ 3岁 170例 (6 0 .0 7% )。体重 3.1～ 2 1.0kg ,平均11.84kg ,,≤ 10kg10 6例 (37.46 % )。主要瓣膜疾患包括 :单纯瓣膜疾病 9例 (3.18% ) ,其中二尖瓣关闭不全 (MI) 7例 ,主动脉瓣关闭不全 (AI)和三尖瓣关闭不全 (TI)各 1例 ;合并其他心内畸形或多瓣膜病变 2 74例(96 .81% ) ,其中MI 15 8例 (5 5 .83% ) ,TI 2 6例 (9.18% ) ,AI 11例 (3.88% ) ,MI +TI 12例(4.2 4% ) ,共同房室瓣 44例 (15 .18% ) ,肺动脉瓣狭窄 (PS)和 /或TI与MI12例 (4.2 4% ) ,二尖瓣狭窄 (MS)、三尖瓣狭窄 (TS)、主动脉瓣狭窄 (AS)等共 11例 (3.88% )。根据不同瓣膜的具体病理改变 ,对 2 83例患儿 36 9个瓣膜采取相应的瓣膜成形术 :瓣叶修补、瓣交界环缩、DeVega环缩、腱索转移、瓣叶成形、瓣交界切开等。同期矫治心内其他畸形。结果 术后早期死亡 8例 ,占 2 .82 % ,死亡原因低心排综合症 3例 ,感染及肺动脉高压危象各 2例 ,脑昏迷 1例。随访 2 5 6例 ,随访率 90 .45 % ,时间 2～ 90个月 ,平均 38.6个月 ,无远期死亡 ,
Objective To investigate the effect of valvuloplasty on preschool children with valvular disease. Methods From January 1990 to April 1998,283 cases of valve disease in preschool children were treated, including 130 males and 153 females. They were 2 months to 6 years old, with an average of 3.05 years old. Among them, 22 (≤1.7%) ≤1 and 170 (≤0.7%) ≤3 years old. Body weight 3.1 ~ 2 1.0kg, an average of 11.84kg ,, 10kg10 6 cases (37.46%). The major valvular disorders included 9 cases (3.18%) of simple valvular disease, including mitral regurgitation (MI) in 7 cases, aortic valve insufficiency (AI) and tricuspid regurgitation (TI) in 1 case; There were 2 74 cases (96.81%) with MI or multi-valvular disease, among which MI 15 8 cases (55.33%), TI 6 cases (9.18%), AI 11 cases 12 cases (4.2%), 44 cases of common atrioventricular valve (15.18%), pulmonary valve stenosis (PS) and / or TI and MI12 cases (4.2%), mitral stenosis (MS) Stenosis (TS), aortic stenosis (AS), a total of 11 cases (3.88%). According to the specific pathological changes of different valves, valvuloplasty was performed on 369 valves of 2 83 infants: valve repair, valve constriction, DeVega constriction, chordae tendinopathy, valve leaflet formation and valve junction incision Wait. Correction of heart abnormalities during the same period. Results There were 8 cases of early death after operation, accounting for 2.82%, 3 cases of low cardiac output syndrome due to death, 2 cases of infection and 2 cases of pulmonary hypertension, and 1 case of cerebral coma. The follow-up was performed on 256 cases, with a follow-up rate of 90.45% and an average of 38.6 months between 2 and 90 months without long-term death.