延迟关胸在小儿复杂先天性心脏病手术中的应用

摘要

目的:总结延迟关胸(DSC)在小儿复杂先天性心脏病(CHD)手术中的应用.方法:从2006年5月～2011年10月,我院对8例复杂CHD手术患儿使用DSC技术.男5例,女3例,年龄21d～2岁,体重2.3～15.4 kg.采用自身前后对照,观察DSC对预防手术意外及严重并发症的作用.结果:8例患儿中,治愈6例,住院死亡1例,住院死亡率12.5 %,放弃治疗1例,出院15 d后死亡.存活患者术后无严重并发症,均已出院.结论:对于复杂CHD手术后出现严重并发症的患儿,DSC是一种安全有效的解决方法.正确的采用DSC可以降低小儿复杂CHD手术的死亡率.%Objective:To explore application of delayed sternal closure (DSC) following operation on complex congenital heart disease in infant. Methods:Between May 2006 and October 2011, 8 patients with complex congenital heart disease were underwent DSC treatment. Among them, 5 cases are boys and 3 cases are girls. Age was ranged from 21 d to 2 years, and body weight from 2.3 to 15.4 kg. Using self-control, effect of DSC on operative complication was observed.Results:In 8 cases of infant, 6 were recovery, 1 death, and 1 giving up treatment. In-hospital mortality was 12.5%. 1 case of giving up was died at 15 d after hospitalization. Survival infant had no severe complications and were discharged.Conclusion:For infant, DSC is safe and effective approach to solve severe complication following operation for complex congenital heart disease. Using correct DSC could decrease mortality after operation on complex CHD.