【摘要】 目的 :本文探讨婴儿室间隔缺损的外科治疗 ,包括手术适应症、手术技术特点以及围术期处理要点方法 :回顾总结作者自 1999年 1月至 2 0 0 1年 9月 ,连续 16例婴儿室间隔缺损手术治疗的临床资料。患儿年龄 1～ 12月 ,平均 9个月 ,体重 4～ 10kg ,平均 7kg。全组手术在体外循环下进行 ,术中见室间隔缺损位于膜周部 11例 ,肺动脉瓣下 4例 ,膜周干下混合型 1例 ,7例补片修复 ,9例直接缝合。结果 :全组死亡 1例 ,其余心功能和健康状况恢复良好。结论 :婴儿室间隔缺损的手术治疗安全 ,效果良好 ,作者认为室间隔缺损对心肺和健康已造成损害以及临床估计缺损难以自愈的患儿均应在婴儿期手术修复。更多还原

【Abstract】 Objective: We explored the effect of surgical treatment on ventricular septal defect(VSD) in infancy, including operative indications, surgical techniques and perioperative therapy. Methods:All clinical data were studied retrospectively. The infants’ ages were 1～12 months(mean 9 months) with body weights 4～10kg(mean 7kg). The operations were performed with cardiopulmonary bypass.VSD was perimembranous in 11 cases, subpulmonary in 4,and perimembranous-subarterial in 1. Patch repair was used in 7 cases and interrupted sutures in 9. Results: One case died,others survived and were discharged satisfactorily. Conclusion: The operation for VSD in infants is very safe and effective. We suggest that surgical repair is beneficial to infants with VSD which compromise circulatory hemodynamics and are expected to have no possibility of spontaneous closure.更多还原