先天性心脏病合并重度肺动脉高压临床分析
钱红波,胡选义,吴观生,李学军,陈黔苏
摘要(Abstract):
目的:总结先天性心脏病合并重度肺动脉高压的外科治疗方法和围手术期处理经验,减少并发症的发生,提高生存率。方法:收集2007年9月~2010年2月我科收治的先天性心脏病伴重度肺动脉高压患者临床资料,对术前准备、手术要点和术后处理进行临床分析。结果:全组67例患者,手术治疗59例(88.06%),手术死亡5例(占手术患者8.47%),死亡原因:肺动脉高压危象3例,低心排2例。结论:重度肺动脉高压手术死亡率较高,主要死因是肺动脉高压危象和低心排,严格的手术指征和完善的围手术期处理可能会提高生存率。
关键词(KeyWords):
心脏病;肺动脉高压;外科治疗
基金项目(Foundation):
作者(Author):
钱红波,胡选义,吴观生,李学军,陈黔苏
DOI: 10.19367/j.cnki.1000-2707.2011.01.022
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