孟庆智,徐东进,陈维,葛小蔚,刘艳云

• 1:上海远大心胸医院心内科

摘要(Abstract)：

目的分析先天性心脏病(先心病)介入封堵治疗中和治疗后并发症的发生率、原因及防治措施。方法自2008年3月至2012年3月,上海远大心胸医院共有1077例先心病患者进行了介入治疗,对介入治疗中和治疗后发生的17例并发症患者作回顾性分析。结果 1077例先心病患者介入术中及术后并发症总发生率为1.58%(17/1077),无死亡病例。房间隔缺损(ASD)组共3例出现并发症,占了ASD组的0.99%(3/303);动脉导管未闭(PDA)组共3例出现并发症占了PDA组的0.97%(3/310);室间隔缺损组(VSD)组共11例出现并发症,占了VSD组的2.61%(11/421),肺动脉瓣球囊成形术(PBPV)组未见并发症,并发症均经保守治疗或介入处理。结论先心病介入封堵术是一种微创而有效的治疗措施,但其并发症不容忽视,尤以VSD封堵术发生率最高。先心病介入治疗的并发症及病死率低,术前应进行充分沟通,术后应作严格随访,尤其警惕部分介入治疗术后迟发并发症的发生。

关键词(KeyWords)： 心脏缺损,先天性;心脏导管插入术;手术中并发症;手术后并发症

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 孟庆智,徐东进,陈维,葛小蔚,刘艳云

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