经皮穿刺动脉导管闭合术的临床应用及并发症的处理Clinical Use and Complication Management of Percutaneous Closure of Patent Ductus Arteriosus
杜修海,张卫泽,胡静玲,张明旭,刘春梅
摘要(Abstract)：
采用改进的Porstmann法对8例动脉导管未闭（PDA）患者实施经皮穿刺堵塞术。以彩色多普勒，球囊导管探测PDA大小，结合导管尺测量塞子并实施堵塞术。6例关闭成功，其血流动力学各参数均明显改善或恢复正常。随访2～4年无栓子移位或再分流发生。失败2例：1例未闭导管呈反漏斗型，塞子脱入肺动脉，经送至股静脉并切开取出；另1例系股动脉太细而不能送入选定的塞子。因此，严格选择适应证是手术成功的关键。
关键词(KeyWords)： 动脉导管未闭;泡沫塞子;经皮堵塞术
基金项目(Foundation):
作者(Author): 杜修海,张卫泽,胡静玲,张明旭,刘春梅
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