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目的探讨介入治疗小儿先天性心脏病(CHD)复合畸形的可行性和疗效。方法对CHD复合畸形患儿10例施行联合介入治疗,其中房间隔缺损(ASD)并肺动脉瓣狭窄(PS)2例,室间隔缺损(VSD)并动脉导管未闭(PDA)4例,PDA并PS 2例,ASD并PDA 2例。结果7例1次治疗成功,余3例中2例分2次治疗,1例8个月患儿,因其在最初0.5年随访中发现VSD明显缩小,故先封堵了PDA,目前正在随访中。成功率100%,无严重并发症。经1个月-3年随访,患儿心脏缩小,心脏功能改善。结论在病例选择恰当情况下,对小儿CHD复合畸形进行介入治疗是安全、可行的。
Objective To investigate the feasibility and efficacy of interventional treatment of composite deformity in children with congenital heart disease (CHD). Methods A total of 10 children with CHD complicated with deformity were enrolled in this study. There were 2 cases of atrial septal defect (ASD) and pulmonary stenosis (PS), 4 cases of ventricular septal defect (VSD) and patent ductus arteriosus (PDA), 4 cases of PDA PS 2 cases, ASD and PDA 2 cases. Results 7 cases of primary treatment were successful, 2 cases of 3 cases were divided into 2 treatments and 1 case of 8 months. Because of the obvious reduction of VSD in the initial 0.5 year follow-up, PDA was first blocked and is currently under follow-up in. Success rate of 100%, no serious complications. After 1 month - 3 years follow-up, children with reduced heart, heart function improved. Conclusion Interventional treatment of children with CHD deformity is safe and feasible in the case of appropriate choice.