先天性心脏病介入治疗严重并发症发生原因及应对策略.pdfVIP

.64. 临床误诊误治 2016 年7 月第 29 辈辈第 7 期 Clinical Misdirumosis Mistheranv. VoL29. No.7. Jul 2016 z 先天性心脏病介入治疗严重并发症发生原因及应对策略 徐莉莹，韩宏光，王辉山，方敏华，孟庆涛，李晓密，张晓慧，刘 宁 [摘要] 目的 分析先天性心脏病介入治疗严重并发症发生的原因，并提出应对策略。方法 回顾性分析 2000 年 1 月 -2015 年 12 月，沈阳军区总医院先天性心脏病介入治疗后出现严重并发症 22 例的临床资料。结果 本组介 入治疗后发生房间隔缺损( atrial septal defect , ASD) 15 例，室间隔缺损( ventricular septal defects , VSD) 6 例，动脉导管 未闭( patent ductus arteriosus , PDA) 1 例，均采用全麻体外循环下心脏直视手术，取出封堵器、矫治心内畸形，外科手术 开放升主动脉后全部自动复跳，术后恢复良好。结论 术前明确诊断及严格掌握介入手术适应证是防止术后严重并 发症发生的关键;术后应及时采取应对策略最大限度避免病情恶化，并矫治心脏畸形，有效控制并发症发生。 [关键词] 心脏病;心脏导管插入术;手术后并发症 [中国图书资料分类号] R541 [文献标志码] A [文章编号] 1002-3429 (2016) 07 -0064 -04 [DOI] 10. 3969/j. issn. 1002-3429.2016.07.024 Cause Analysis and Countermeasures of Severe Complications of Congenital Heart Defect after Unsuccessful Inter- ventional Treatment XU LI-ying , HAN Hong-guang , WANG Hui-shan , FANG Min-hua , MENG Qing-tao , LI Xiao-mi , ZHANG Xiao-hui , LIU Yu ( Department of Cardiovascular Surgery , General Hospital of Shenyang MilitalγArea Command , Shenyang 110016 , Chi- na) [ Abstract] Objective To analyze the causes of severe complications of congenital heart defect after unsuccessful in- terventional treatment and propose appropriate reasonable countermeasures. Methods A total of 22 patients with severe com- plications following unsuccessful interventional treatment for congenital heart defect during January 2000 to December 2015 were included in this retrospective analysis. Results There were 15 cases of atrial septal defect (ASD) , 6 cases of ventricular septal defect (VSD) and 1 case of patent duct closure (PDA) after interventional therapy , and all the patients underwent oc- cluder removal successfully and defect correction with satisfactory outcome. All the cases underwent cardiac resuscitation auto- matically and detached from ca