干旱区生态环境知识资源中心(Arid): 先天性主动脉缩窄合并心内畸形的外科矫治

Arid

	先天性主动脉缩窄合并心内畸形的外科矫治
其他题名	Surgical management of coarctation of the aorta and associated intracardiac defect
	张怀军; 张立忠; 许建屏; 刘迎龙; 吴清玉; 朱晓东
来源期刊	中华外科杂志
ISSN	0529-5815
出版年	2004
卷号	42 期号:1 页码:52-54
中文摘要	目的探讨先天性主动脉缩窄(CoA)合并心内畸形的外科治疗方法. 方法 1994～2001年共收治45例CoA合并心内畸形患者,其中一期手术组26例,分期手术组19例.23例合并有中～重度肺动脉高压(平均肺动脉压56 mm Hg).心内畸形以室间隔缺损(VSD)最常见(36例,80%).一期组选择单纯正中切口21例,左外侧和正中双切口5例.分期手术组平均间隔105 d行二期手术矫正心内畸形. 结果两组分别死亡2例.24例术后上下肢动脉压差消失,10例平均动脉收缩压差均小于10 mm Hg.平均随访29个月.患者生活质量有明显提高.超声心动图检查提示无假性动脉瘤或主动脉再狭窄. 结论选择一期或分期手术矫治CoA合并心内畸形,手术结果无明显差异,一期手术中选择左外侧和正中双切口方法安全有效.
英文摘要	Objective To study the efficancy of surgical treatment on coarctation of the aorta and associated with, heart defect. Methods From 1994 to 2001, 45 patients with aortic coarctation and associated with heart defect underwent surgical repair. They were divided into two groups: single-stage repair group (26 cases) and two-stage repair group (19 cases). There was mild or severe pulmonary hypertension in 23 oases (with mean pulmonary artery pressure being 56 mm Hg). There were two incisions used in first-stage group (single midline incision in 21 cases and left-side combined midline incision in 5 cases). The mean course for the second operation was 105 days in second-stage group. Results Two patients died in each group. Twenty-four patients had not blood pressure difference between arm and leg after operation. The mean systolic blood pressure difference was less than 10 mmHg in 10 patients. Mean period of follow-up was 28. 6 months. No patients died and had re-coarctation. Conclusion The operative results showed no difference between single-stage and two-stage repair in surgical correction of aortic coarctation associated intracardiac defect. The left-side combined midline incision in single-stage operation was an effective and safe technique.
中文关键词	主动脉缩窄 ; 心脏缺损,先天性 ; 外科手术
英文关键词	Aortic coarctation Heart defect, congenital Surgical procedures, operative
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1571524
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205842
作者单位	中国医学科学院,中国协和医科大学,阜外医院外科, 北京 100037, 中国
推荐引用方式 GB/T 7714	张怀军,张立忠,许建屏,等. 先天性主动脉缩窄合并心内畸形的外科矫治[J],2004,42(1):52-54.
APA	张怀军,张立忠,许建屏,刘迎龙,吴清玉,&朱晓东.(2004).先天性主动脉缩窄合并心内畸形的外科矫治.中华外科杂志,42(1),52-54.
MLA	张怀军,et al."先天性主动脉缩窄合并心内畸形的外科矫治".中华外科杂志 42.1(2004):52-54.