CAJ | 학술논문

目的：探讨内外科镶嵌治疗用于新生儿左心发育不良综合征初期治疗的效果。方法回顾性分析1例以内外科镶嵌治疗替代Norwood I期治疗的患儿的临床资料。结果患儿应用介入技术植入动脉导管支架，然后行双侧肺动脉环扎术，未应用心肺转流术，总手术时间105 min，术后11 d出院，术后3个月随访情况平稳。结论内外科镶嵌治疗可取得与传统Norwood I期相似的治疗效果，且能有效避免心肺转流术、减少早期病死率、缩短住院时间。
목적：탐토내외과양감치료용우신생인좌심발육불량종합정초기치료적효과。방법회고성분석1례이내외과양감치료체대Norwood I기치료적환인적림상자료。결과환인응용개입기술식입동맥도관지가，연후행쌍측폐동맥배찰술，미응용심폐전류술，총수술시간105 min，술후11 d출원，술후3개월수방정황평은。결론내외과양감치료가취득여전통Norwood I기상사적치료효과，차능유효피면심폐전류술、감소조기병사솔、축단주원시간。
To explore the effect of hybrid approach on the initial management of hypoplastic left heart syndrome (HLHS). Methods The clinical data of a child with HLHS treated with hybrid approach as an alternative to stage I Norwood procedure were retrospectively analyzed. Results Stenting of the ductus arteriosus and bilateral pulmonary artery banding were performed without cardiopulmonary bypass. The total operation time was 105 minutes. The child was discharged from hospital 11 days af-ter operation and remained stable at a 3-month follow-up. Conclusions The hybrid approach may have similar therapeutic ef-fect with stage I Norwood procedure, meanwhile have an effect in avoiding cardiopulmonary bypass, reducing initial mortality and shortening hospital stays.