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目的探讨3个月以下小婴儿先天性心脏病(CHD)的外科治疗方法。方法3个月以下小婴儿各种CHD78例,男52例,女26例,年龄最小生后10h,平均体重(3.50±2.92)kg,均在体外循环下行急诊或亚急诊手术。结果手术死亡7例,总死亡率为8.8,其中完全性大动脉错位行Switch手术死亡2例(22.2),室间隔缺损伴重度肺高压死亡3例(5.1),完全性肺静脉异位引流和右室双出口各死亡1例。无残余分流和Ⅲ°房室传导阻滞等严重并发症发生。结论对小婴儿危重复杂CHD应早期干预,准确把握手术时机,及早手术,以免失去最佳手术时机和增加死亡率。
Objective To investigate the surgical treatment of congenital heart disease (CHD) in infants younger than 3 months. Methods A total of 78 CHDs were enrolled in this study. There were 52 males and 26 females, the youngest were 10 hours after birth and the average body weight was (3.50 ± 2.92) kg. All patients underwent ED or sub-emergent surgery under cardiopulmonary bypass. Results Seven patients died of surgery, with a total mortality of 8.8. Among them, 2 cases (22.2%) died of Switch in complete aorta, 3 cases died of severe pulmonary hypertension due to ventricular septal defect (5.1), complete pulmonary venous drainage and right ventricle Double export each died in 1 case. No residual shunt and Ⅲ ° atrioventricular block and other serious complications. Conclusion CHD should be early intervention in critically ill small infants, accurately grasp the timing of surgery, early surgery, so as not to lose the best timing of surgery and increase mortality.