Beating heart repair of atrial septal defect in 134 infants with cardiopulmonary bypass

马瑞彦; 杨宗英; 钟前进; 陈林; 王学锋; 陈柏城; 陈劲进; 肖颖彬

您当前的位置：

首页 >

文章列表页 >

Beating heart repair of atrial septal defect in 134 infants with cardiopulmonary bypass

更新时间：2026-01-09

- Beating heart repair of atrial septal defect in 134 infants with cardiopulmonary bypass
- Journal of Army Medical University Vol. 30, Issue 18, Pages: 1762-1763(2008)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：
  CLC： R654.1;R654.2;R725.411
- Published：2008
- 稿件说明：
移动端阅览
马瑞彦,杨宗英,钟前进,陈林,王学锋,陈柏城,陈劲进,肖颖彬.浅低温体外循环心脏跳动下修复3岁以下房间隔缺损134例[J].陆军军医大学学报(原第三军医大学学报),2008,30(18):1762-1763.

　MA Rui-yan,YANG Zong-ying,ZHONG Qian-jin,CHEN Lin,WANG Xue-feng,CHEN Bai-cheng,CHEN Jin-jin,XIAO Ying-bin.Beating heart repair of atrial septal defect in 134 infants with cardiopulmonary bypass[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(18):1762-1763.
马瑞彦,杨宗英,钟前进,陈林,王学锋,陈柏城,陈劲进,肖颖彬.浅低温体外循环心脏跳动下修复3岁以下房间隔缺损134例[J].陆军军医大学学报(原第三军医大学学报),2008,30(18):1762-1763. DOI：

　MA Rui-yan,YANG Zong-ying,ZHONG Qian-jin,CHEN Lin,WANG Xue-feng,CHEN Bai-cheng,CHEN Jin-jin,XIAO Ying-bin.Beating heart repair of atrial septal defect in 134 infants with cardiopulmonary bypass[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(18):1762-1763. DOI：

摘要

目的总结本科从1999年1月至2007年7月134例3岁以下婴幼儿房间隔缺损（atrial septal defect， ASD）手术治疗病例，探讨ASD的手术时机及浅低温心脏不停跳技术的应用。方法本组男性51例，女性83例，3～36月龄，体质量5～16 kg。术前112例患儿出现反复呼吸道感染或发育不良，其中79例出现心衰症状和心脏增大表现；单纯ASD 101例，合并其他心脏畸形33例。均采用浅低温体外循环心脏不停跳技术对患儿行ASD修补手术。结果全组无死亡病例，术后早期有1例出现窦房结功能失调，使用临时起搏器治疗后好转；对110例患儿进行随访，随访时间2个月至4年，所有患儿生长发育得到明显改善，无远期并发症发生。结论 ASD根据临床表现和超声心动图可明确诊断，一旦明确手术适应证，应该积极手术治疗，早期手术可以降低心衰，减少肺动脉高压的发生；浅低温心脏不停跳心内直视手术可作为安全、有效的方法应用于婴幼儿ASD的外科治疗。

Abstract

Objective To improve beating heart intracardiac operation technique with mild hypothermic cardiopulmonary bypass

and to review the clinic experience in 134 infants with atrial septal defect between January 1999 and July 2007. Methods Totally 134 infants below 3 years of age

with a mean age of (15.1±6.8) months

weighing 5-16 kg

were included

among whom 112 infants showed delayed growth or dyspnea

79 were administered emictory for heart failure and increasing cardiomegaly

101 had the isolated defect

and 33 had minor associated lesions requiring additional procedures. Beating heart surgery with cardiopulmonary bypass were performed in all infants. Results All infants survived. One infant was found to have sinus node dysfunction and managed. A total of 110 infants followed up from 2 months to 4 years showed improvement in growth and development. Conclusion Operation should be performed on infants with ASD when the operation indication is confirmative. Beating heart surgery with cardiopulmonary bypass is a safe and reliable procedure for the infants with ASD.

关键词

Keywords

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Incidence of atrial fibrillation and its related factors in patients over 40 years old with secondary atrial septal defect before and after interventional closure

Clinical features and surgical treatment of right atrial tumors: a retrospective analysis of 64 cases

Spontaneous intracranial hemorrhage in infants: a clinical analysis of 131 cases

Comparison of perioperative efficacy and safety between on-pump and off-pump coronary artery bypass grafting in elderly patients

Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients

Related Author

Tao ZHU

Xiang XU

Haiyun HUANG

Chen WAN

Feng LIU

Xinfeng JIANG

Wenting WANG

Huakang LI

Related Institution

Department of Cardiology, First Affiliated Hospital, Army Medical University (Third Military Medical University)

Department of Ultrasonography, First Affiliated Hospital, Army Medical University (Third Military Medical University)

Department of Cardiovascular Surgery, PLA Institute of Cardiovascular Surgery, Second Affiliated Hospital, Army Medical University (Third Military Medical University)

Department of Neurosurgery, Children's Hospital of Chongqing Medical University

Department of Cardiovascular Surgery, Cardiovascular Surgery Institute of PLA, Second Affiliated Hospital, Army Medical University (Third Military Medical University)

⁰