动脉导管未闭的手术并发症（Surgical complications of patent ductus arteriosus）.docVIP

动脉导管未闭的手术并发症（Surgical complications of patent ductus arteriosus） Symptoms include the following: 1. Intraoperative bleeding: the most serious and often fatal accident. The rupture of a larger hemorrhage is concealed, usually at the posterior wall of the vessel or in the upper corner. In the event of massive bleeding, the surgeon should remain calm and press the bleeding area with his fingers. Temporary hemostasis, the net absorption of operative blood, if the descending aorta has been the first free (to avoid chaos, can hold down clamp) bands, aortic blood flow with two blocked artery forceps, and catheter clamp, and then cut off the catheter for bleeding, broken El, together with the cut end together with 3 - or 4 - 0 0 Non invasive continuous polypropylene suture or 8 zigzag suture. Such as the descending aorta before free, with the index finger pressing temporarily after hemostasis, immediately heparinized, emergency extracorporeal circulation, respectively in the left subclavian artery root and descending aorta or left femoral artery into the artery tube, the pericardium in the right atrial appendage or right ventricular outflow tract into the venous drainage tube, the rapid establishment of bypass parallel blood cooling. Then the free catheter, the adjacent descending aorta, clamps the descending aortas guide fence and cuts the suture catheter and the fissure. 2, left laryngeal nerve paralysis: postoperative hoarse voice causes, in addition to tracheal intubation caused throat vocal edema, mainly: intraoperative traction, causing left laryngeal recurrent nerve edema, or ligation cut the catheter when the nerve damage. The early postoperative water intake or fluid cough, hoarseness. By prednisone, vitamin B1 and B6 as well as physical treatment, edema in 2 ~ 3 weeks after nerve injury recovery subsided, the sound can be closed by the right vocal cord shift compensation, make the eating without choking, but a hoarse voice is permanent. 3, catheter recanalization: