2018 年第 2 期 第 13 卷

紫绀型先天性心脏病患儿的急诊手术治疗经验

作者：杨学勇王执一景小勇陈哲苏俊武刘迎龙

英文作者：

单位：100029首都医科大学附属北京安贞医院小儿心脏中心

英文单位：

关键词：先天性心脏病；紫绀；急诊手术

英文关键词：

• 摘要：

• 目的    总结小儿紫绀型先天性心脏病（CHD）急诊手术经验。方法    回顾性分析2016年1月至2017年8月首都医科大学附属北京安贞医院小儿心脏中心急诊手术治疗的89例紫绀型CHD患儿的临床资料。其中男64例、女25例，年龄（4±3）个月。行外科根治手术83例，姑息手术6例。统计分析手术根治率、术后并发症及患儿预后。结果    本组89例手术患儿心脏畸形一期根治率为93.3%（83/89），住院时间8～40 d、平均（18±9）d。术后并发症发生率25.8%（23/89）。全组术后早期死亡3例，病死率为3.4%（3/89）。结论    紫绀型CHD患儿明确诊断后需尽快行急诊手术治疗，合理的围术期管理是患儿良好预后的重要保障。

• Emergency surgical treatment for cyanotic congenital heart disease in children

  Yang Xueyong, Wang Zhiyi, Jing Xiaoyong, Chen Zhe, Su Junwu, Liu Yinglong

  Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

  Corresponding author: Liu Yinglong, Email: liuyinglong@vip.sina.com

  【Abstract】Objective    To summarize the experience of emergency surgical treatment for cyanotic congenital heart disease（CHD） in children. Methods    Clinical data of emergency operations in 89 children ［64 males and 25 females, (4±3)months］with cyanotic CHD were retrospectively reviewed from January 2016 to August 2017 in Beijing Anzhen Hospital, Capital Medical University. Corrective operations were performed in 83 cases and palliative operations were performed in 6 cases. Radical cure rate, postoperative complications and prognosis of children were analyzed. Results    Radical cure rate was 93.3%（83/89）. Length of hospital stay was 8-40 days, with an average of (18±9) days. Incidence of postoperative complications was 25.8%(23/89). Early postoperative mortality rate was 3.4%(3/89). Conclusion    It is necessary for children with cyanotic CHD to have emergency surgical treatment after diagnosis, and reasonable perioperative management is an important guarantee for the prognosis of children.

  【Key words】Congenital heart disease;Cyanosis;Emergency operation

  【Fund program】Beijing Science and Technology Special Project (Z171100003317073)