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我科自 1999年 3月至 2 0 0 0年 4月连续手术治疗 8kg (5～ 8kg)以下先心病婴幼儿 10例 ,平均体重6 2 5kg。年龄 5～ 14个月 ,平均 9个月。病种包括先心病 室间隔缺损 (VSD) 7例 (其中合并先心病动脉导管未闭 (PDA +VSD) 3例 ,合并房间隔缺损 (ASD +VSD) 3例 ,VSD +右室流出道狭窄 (RVOTS) 1例 ,ASD 2例 ,部分型房室管畸形并左上腔引流至左房顶 1例。伴有肺动脉高压 (PH)者有 8例。均在低温体外循环下行心内畸形矫治术 ,死亡 1例 (10 % ) ,余无并发症发生。随着体外循环 (CPB)技术和外科技术的提高 ,小体重婴幼儿先心病手术治疗是比较安全的。
Our department from March 1999 to April 2000 continuous surgery 8kg (5 ~ 8kg) following 10 cases of infants with congenital heart disease, the average body weight of 625kg. Age 5 to 14 months, an average of 9 months. The disease included 7 cases of ventricular septal defect (VSD) in congenital heart disease (3 cases with patent ductus arteriosus (PDA + VSD), 3 cases with atrial septal defect (ASD + VSD), VSD + right ventricular outflow tract stenosis RVOTS) in 1 case, ASD in 2 cases, partial atrioventricular canal deformity and the left upper extremity drainage to the left roof in 1 case.Compared with pulmonary hypertension (PH) in 8 cases, all under the cardiopulmonary bypass deformity correction, One patient died (10%), and no complication occurred.With the improvement of CPB and surgical techniques, it is safer to treat small-weight infants with congenital heart disease.