Post-operative complications and measures on complex cyanotic congenital heart diseases and pulmonary ;shunt
10.3760/cma.j.issn.1673-4912.2016.01.012
- VernacularTitle:复杂紫绀型先天性心脏病体-肺动脉分流术后早期并发症及处理措施
- Author:
Liying XU
;
Hongguang HAN
;
Huishan WANG
;
Xiaomi LI
;
Qingtao MENG
;
Xiaohui ZHANG
;
Chunzhen ZHANG
;
Yejun DU
- Publication Type:Journal Article
- Keywords:
Systemic-pulmonary shunt;
Cardiac surgery;
Complication;
Congenital heart disease
- From:
Chinese Pediatric Emergency Medicine
2016;23(1):49-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the causes and treatment methods of early complications after central systemic-pulmonary shunt in complex cyanotic congenital heart diseases.Methods Two hundred and twelve cases of central systemic-pulmonary shunt in complex cyanotic congenital heart diseases were retro-spectively analyzed in order to explore the early postoperative complications and related treatment measures. Results There were 61 cases(28.77%)of the early postoperative complications,including severe low car-diac output syndrome in 27 cases,acute pulmonary edema in 14 cases,24 h shunt pipe blockage in 12 cases, and supraventricular tachycardia in 8 cases.All patients got followed up,average for(2.49 ±1.21 )years.Af-ter the systemic-to-pulmonary artery shunts,pulmonary vascular had significant growth,8 patients(3.77%) of them who pulmonary hypoplasia were promoted by transcatheter aortopulmonary collateral vessels.At the end of the follow-up,77 patients(36.32%)achieved the standard of radical surgery.Conclusion The factors affecting surgical survival rate include:enhancement of patients cardiac function and strictly handle operation indication before operation a clear operational view;rational surgical methods;treatment of complication with-out delay;strict,intensive care and synthesized treatment.
