新生儿复杂先心病急诊手术及死亡原因分析.pdfVIP

上海交通大学学报(医学版) of JournalShanghai Science) JiaotongUniversity(Medical 文章编号：0258—5898(2007)07—0847—03 ·临床研究· 新生儿复杂先心病急诊手术及死亡原因分析 仇黎生。 苏肇伉， 刘锦纷， 徐志伟， 徐卓明。 陈虹 (上海交通大学医学院新华医院上海儿童医学中心心胸外科，上海200127) 摘 要：目的分析各类新生儿复杂先心病的急诊手术过程，总结新生儿心脏手术的围术期治疗经验，并分析死亡原因。方法 余肺静脉回流梗阻再手术1例。结论及时诊断与手术是新生儿复杂先心病治疗成功的关键。合理的手术方法、优化的体外循 环方案以及精细的术后监护，将提高新生儿复杂先心病患者的存活率。 关键词：新生儿；心脏病，先天性；复杂型；手术治疗 中图分类号：R541．4 文献标志码：A treatmentand forneonatal heart surgical Emergency mortalityanalysis complexcongenital disease QIULi-sheng，SUZhao-kang，LIUJin—fen，XUZhi·wei，XUZhuo-ming，CHENHong PediatricCardiothoracic Children’sMedical of of (Department Surgery，Shanghai Center，XinhuaHospital，School JiaotongUniversity，Shanghai200127，China) Toreviewandsummarizethe of for Abstract： treatmentneonatal heartdisease Objective experienceperioperative complexcongenital thecourseof andthecauseofdeath．MethodsTheclinicaldataof104neonateswith byanalysing emergencymanagement complex heart whowere 2005 disease treatmentfromJan2003tODec inour were congenital performedemergencysurgical hospital ResultsTherewere9casesofdeathwitha rateof8．6％．No wereob— analysed． mortality postoperativeneurologicalcomplications servedin survived．Woundinfectionand wound occuredin2and3D—TGA with sternalclousu· anypatients poor healing patients