昆明医科大学学报
昆明醫科大學學報
곤명의과대학학보
Journal of Kunming Medical University
2014年
2期
38-40
,共3页
郑林琼%鲁一兵%张伟华%杨栋
鄭林瓊%魯一兵%張偉華%楊棟
정림경%로일병%장위화%양동
先天性心脏病%动脉导管未闭%动脉导管未闭封堵术
先天性心髒病%動脈導管未閉%動脈導管未閉封堵術
선천성심장병%동맥도관미폐%동맥도관미폐봉도술
Congenital heart disease%Patent ductus arteriosus%Patent doctus arteriosus closer
目的:探讨低体重儿童动脉导管未闭封堵治疗的疗效和安全性.方法2008年1月至2012年6月昆明医科大学附属延安医院对体重<8 kg的婴幼儿PDA 32例(男14例,女18例)实施经导管介入封堵治疗,年龄6~18月,平均(11±5.5)月,体重(7.2±0.6) kg,主动脉造影示PDA最窄径为1~8 mm (4.6±1.7) mm,封堵后即刻和30 min行侧位降主动脉造影,术后1 d,1、3、6个月分别行超声心动图及X线摄片检查.结果30例封堵治疗成功,成功的患者均采用国产PDA封堵器,1例术中造影合并降主动脉缩窄和室间隔缺损,转外科治疗;1例为PDA封堵器主动脉侧过大,导致降主动脉狭窄,放弃封堵;2例术后即刻存在微量-少量残余分流;随访均未发生严重并发症.结论应用国产封堵器经导管治疗体重<8 kg的婴幼儿的PDA是一种安全有效、简便、创伤小、恢复快的介入治疗方法.
目的:探討低體重兒童動脈導管未閉封堵治療的療效和安全性.方法2008年1月至2012年6月昆明醫科大學附屬延安醫院對體重<8 kg的嬰幼兒PDA 32例(男14例,女18例)實施經導管介入封堵治療,年齡6~18月,平均(11±5.5)月,體重(7.2±0.6) kg,主動脈造影示PDA最窄徑為1~8 mm (4.6±1.7) mm,封堵後即刻和30 min行側位降主動脈造影,術後1 d,1、3、6箇月分彆行超聲心動圖及X線攝片檢查.結果30例封堵治療成功,成功的患者均採用國產PDA封堵器,1例術中造影閤併降主動脈縮窄和室間隔缺損,轉外科治療;1例為PDA封堵器主動脈側過大,導緻降主動脈狹窄,放棄封堵;2例術後即刻存在微量-少量殘餘分流;隨訪均未髮生嚴重併髮癥.結論應用國產封堵器經導管治療體重<8 kg的嬰幼兒的PDA是一種安全有效、簡便、創傷小、恢複快的介入治療方法.
목적:탐토저체중인동동맥도관미폐봉도치료적료효화안전성.방법2008년1월지2012년6월곤명의과대학부속연안의원대체중<8 kg적영유인PDA 32례(남14례,녀18례)실시경도관개입봉도치료,년령6~18월,평균(11±5.5)월,체중(7.2±0.6) kg,주동맥조영시PDA최착경위1~8 mm (4.6±1.7) mm,봉도후즉각화30 min행측위강주동맥조영,술후1 d,1、3、6개월분별행초성심동도급X선섭편검사.결과30례봉도치료성공,성공적환자균채용국산PDA봉도기,1례술중조영합병강주동맥축착화실간격결손,전외과치료;1례위PDA봉도기주동맥측과대,도치강주동맥협착,방기봉도;2례술후즉각존재미량-소량잔여분류;수방균미발생엄중병발증.결론응용국산봉도기경도관치료체중<8 kg적영유인적PDA시일충안전유효、간편、창상소、회복쾌적개입치료방법.
Objective To discusses the efficacy and safety of patent ductus arteriosus sealing for low body weight children. Methods From January 2008 to June 2012 in our hospital,32 cases (male14 and female 18) of PDA babies< 8 kg weight were given transcatheter closure treatment. The enrolled PDA babies aged 6 month-18 months, average (11 ±5.5 months),weighted (7.2 ±0.6) kg,aortic imaging showed the narrowest diameter of PDA was 1 ~ 8 mm (4.6 ±1.7) mm,descending aorta imaging was performed immediately and 30 min after transcatheter closure treatment. Echocardiography and X-ray radiography examination were performed 1 d,1,3, 6 months after treatment. Results 30 cases got successful patent ductus arteriosus sealing,all the successful patients were treated with domestic closer,and 1 case was complicated with the descending aorta stenosis and ventricular septal defect, and was transferred to surgerical treatment. 1 case of PDA gave up patent ductus arteriosus sealing as descending aorta stenosis caused by the closer. 2 cases were found a trace-residual shunt immediately after patent ductus arteriosus sealing. No serious complications were found in all patients during the follow-up period. Conclusions Application of domestic closer in treatment of PDA infants < 8 kg is a safe, effective and simple intervention treatment method with little trauma and fast recovery.