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目的探讨低体重婴幼儿室间隔缺损(VSD)并肺动脉高压外科治疗的适应证、手术技术及围术期处理。方法回顾性分析93例体重10kg以下VSD并肺动脉高压患者行室间隔缺损手术治疗的临床资料,手术过程,围术期处理与转归。结果术后早期死亡1例;出现并发症者7例,其中低心排综合征2例,术后残余漏2例,心律失常2例,胸腔积液1例,均经过治疗后痊愈出院。结论低体重婴幼儿VSD并肺动脉高压的手术治疗安全有效、效果良好;对合并复杂畸形的婴幼儿患者手术疗效仍有待进一步提高。
Objective To investigate the indications, surgical techniques and perioperative management of low-weight infants with ventricular septal defect (VSD) and pulmonary hypertension. Methods The clinical data, surgical procedures, perioperative management and prognosis of 93 cases of ventricular septal defect in VSD under 10kg body weight and pulmonary hypertension were retrospectively analyzed. Results 1 patient died early after operation. Complications occurred in 7 patients, including 2 cases of low cardiac output syndrome, 2 cases of postoperative residual leak, 2 cases of cardiac arrhythmia and 1 case of pleural effusion. All patients were cured and discharged. Conclusion The surgical treatment of VSD and pulmonary hypertension in infants with low birth weight is safe and effective, and the effect is good. The effect of surgery on infants and young children with complex deformity needs to be further improved.