Analysis of the influencing factors of surgical effect for neonatal severe complicated congenital heart disease
10.3760/cma.j.issn.1001-4497.2015.03.006
- VernacularTitle:新生儿重症复杂性先天性心脏病手术疗效的影响因素
- Author:
Kai LUO
;
Yujie LIU
;
Zhuoming XU
;
Jinghao ZHENG
- Publication Type:Journal Article
- Keywords:
Heart diseases,congenital;
Neonate;
Diagnosis;
Cardic surgical procedures;
Influencing factors
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2015;31(3):148-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of surgical management for neonatal complicated congenital heart disease(CCHD),sumarize the clinical experience and improve the surgical effect.Methods The clinical data of 154 neonates with complicated congenital heart disease who were undergone surgical management from August 2008 to August 2013 were retrospectively analysed.Results There were 14 cases of death with a mortality rate of 9.1％ (14/154),including 4 cases of preoperative death.The operative motality is 6.7％ (10/150),including 3 cases of single malformations(D-TGA/VSD,PA/VSD,IAA),and 7 cases of multiple malformation(HRHS/PS in 2,D-TGA/COA in 1,D-TAG/PS in 1,COA/SV in 1,SV/PA/IVS in 1 and D-TGA/COA/SV in 1).140 cases accepted regular follow-up after hospital discharge from 3 months to 5 years,8 of them underwent secondary surgery and all survived.Conclusion Timely diagnosis,actively improvement for preoperative internal environment,fine operative technique,individual cardiopulmonary bypass and intensive postoperative care are all important influencing factors of surgical effect for neonatal severe complicated congenital heart disease.
