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目的 评估婴儿危重先天性心脏病 (先心病 )急症手术的可行性 ,进一步扩大手术范围并提高治愈率。方法 回顾性总结 1988年 1月～ 2 0 0 1年 11月 34 8例婴儿危重先心病急症外科处理的经验 ,分析各年度婴儿危重先心病比率 ,手术月龄和手术病死率的变化。结果 婴儿危重先心病占总手术数的比率、平均月龄、手术病死率 ,1991年分别为 5 .71% ,(7.2 5± 1.76 )个月 ,9.0 9% ;1995年10 .89% ,(8.6 0± 2 .44 )个月 ,2 3.35 % ;2 0 0 1年 2 3.73% ,(6 .43± 2 .98)个月 ,6 .74%。结论 婴儿危重先心病急症手术数量逐年上升。手术病死率逐年下降。正确、适时修复心内畸形 ,恢复合理的血流动力学是挽救这类患儿生命的重要措施
Objective To assess the feasibility of emergency surgery for critically ill congenital heart disease (CHD) in infants and to further expand the scope of the operation and improve the cure rate. Methods A retrospective review was made on the experience of surgical treatment of critical care of critically ill infant with congenital heart disease in 348 cases from January 1988 to November 2001. The changes of infant criticality rate, operative age and operative mortality were analyzed. Results The ratio of infant’s critical congenital heart disease to the total number of operations, average age at month, and operative mortality were 5.71%, 7.29 ± 1.76 months and 9.09% respectively in 1991 and 10.89% in 1995 8.6 0 ± 2.44) months, 2 3.35%; 21.373% in 2001, (6 .43 ± 2 .98) months, 6 .74%. Conclusions The number of emergency surgery for critically ill infant with congenital heart disease increases year by year. Surgical mortality declines year by year. Correct, timely repair of heart deformity, restore reasonable hemodynamics is an important measure to save the lives of these children