CAJ | 학술논문

1978年来我院对22例一岁以下的动脉导管未闭的患儿进行了手术治疗,术前诊断根据体征、超声心动图及胸片作出.我们主张采取积极态度,尽早手术,尤对反复发作肺炎并心衰的惠儿更应注意.手术方法经胸膜外入路行导管结扎术,效果良好,无术后并发症及死亡.1986年7月12日收稿)
1978년래아원대22례일세이하적동맥도관미폐적환인진행료수술치료,술전진단근거체정、초성심동도급흉편작출.아문주장채취적겁태도,진조수술,우대반복발작폐염병심쇠적혜인경응주의.수술방법경흉막외입로행도관결찰술,효과량호,무술후병발증급사망.1986년7월12일수고)
Twenty two cases of PDA in infants under one year of age were operated on in Tianjin Children's Hospital since 1978, mostly from April 1985 to 1986. Diagnosis was made by peripheral vascular signs and echocardiography combined with chest X-ray. The murmur may be obscured or altered in heart failure, in 59% of the patients only a systolic murmur could be heard. In this age group, PDA with clinical symptoms including those of -heart failure or pneumonia should always be the indication of operative interruption. Good exposure can be obtained from the extrapleural approach. The convalescence was smooth in all patients and there was no postoperative complications or death.