[1]王琦光,朱鲜阳,张端珍,等. 体质量 ≤ 8 kg小儿动脉导管未闭封堵治疗[J].介入放射学杂志,2014,(02):100-103.
 WANG Qi? guang,ZHU Xian? yang,ZHANG Duan? zhen,et al. Transcatheter closure of patent ductus arteriosus in infants with body weight under 8 kg[J].journal interventional radiology,2014,(02):100-103.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年02期
页码:
100-103
栏目:
心脏介入
出版日期:
2014-02-28

文章信息/Info

Title:
 Transcatheter closure of patent ductus arteriosus in infants with body weight under 8 kg
作者:
 王琦光 朱鲜阳 张端珍 崔春生 陈火元 韩秀敏 张 坡 侯传举 盛晓棠 顾俊骏
Author(s):
 WANG Qi?蛳 guang ZHU Xian?蛳 yang ZHANG Duan?蛳 zhen CUI Chun?蛳 sheng CHEN Huo?蛳 yuan HAN Xiu?蛳 min ZHANG Po HOU Chuan?蛳 ju SHENG Xiao?蛳 tang GU Jun?蛳 jun.
Department of Congenital Heart Disease, General Hospital of Shenyang Military Area Command, Shenyang 110840, China
关键词:
 【关键词】 动脉导管未闭 婴幼儿 导管插入术
文献标志码:
A
摘要:
 【摘要】 目的 探讨体质量 ≤ 8 kg小儿动脉导管末闭(PDA)介入治疗方法的临床经验及安全性和有效性。方法 收集2001年5月—2013年8月确诊为PDA的102例体质量均 ≤ 8 kg患儿,通过经皮封堵术介入治疗,6 min后行主动脉弓降部造影,术后24 h、1、3、6个月行X线胸片、心电图、超声心动图检查,观察治疗效果。结果 102例患儿中漏斗型58例,管型39例,窗型1例,不规则型4例,PDA肺动脉端最窄处直径为2 ~ 10 mm,平均(4.8 ± 1.6) mm,选择Amplatzer公司生产的蘑菇伞型封堵器25例,新型ADO?蛳 Ⅱ封堵器5例,Plug 1例,国产蘑菇伞型PDA封堵器69例,室间隔缺损封堵器2例,所选择蘑菇伞型封堵器腰部直径为6 ~ 16 mm。术前肺动脉平均压 ≥ 25 mmHg者87例,其中43例 ≥ 50 mmHg,封堵后10 min测量肺动脉平均压均有不同程度下降,符合动力型肺动脉高压。102例患儿均治疗成功,成功率100%。结论 低体质量PDA患儿由于自身特点有其特殊性,介入治疗存有一定风险,如果术前准备充份,术中操作谨慎、细致,封堵器选择适当,注意预防并发症发生,仍为一种安全有效的方法。

参考文献/References:

 [1] Pass RH, Hijazi Z, Hsu DT, et al. Multicenter USA amplatzer patent ductus arteriosus occlusion device trial: initial and one?蛳 year results[J]. J Am Coll Cardiol, 2004, 44: 513 ?蛳 519.
[2] 中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识三、 动脉导管未闭的介入治疗[J]. 介入放射学杂志, 2011, 20: 172 ?蛳 176.
[3] Faella HJ, Hijazi ZM. Closure of the patent ductus arteriosus with the amplatzer PDA device: immediate results of the international clinical trial[J]. Catheter Cardiovasc Interv, 2000, 51: 50 ?蛳 54.
[4] 朱鲜阳, 韩秀敏, 盛晓棠, 等. 采用新型成角蘑菇伞治疗小儿动脉导管未闭[J]. 心脏杂志, 2005, 17: 178 ?蛳 180.
[5] 朱鲜阳, 王琦光, 韩秀敏, 等. 经导管法治疗动脉导管未闭941例临床分析[J]. 中国介入心脏病学杂志, 2007, 15: 306 ?蛳 309.
[6] Ewert P. Challenges encountered during closure of patent ductus arteriosus[J]. Pediatr Cardiol, 2005, 26: 224 ?蛳 229.
[7] 代政学, 张玉顺, 贾国良, 等. 封堵器经导管治疗动脉导管未闭169例的随访结果[J]. 心脏杂志, 2002: B521 ?蛳 B523.

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备注/Memo

备注/Memo:
 (收稿日期:2013-08-25)
更新日期/Last Update: