文档介绍：维普资讯
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临床儿科杂志第 26卷第 5期 2008年 JClin · 381 ·
· 论著·
肺动脉瓣狭窄合并房间隔缺损的介入治疗效果分析
石萍杨杰杨敏刘莉莉孙若鹏赵翠芬王玉玮
山东大学齐鲁医院:bJL科(山东济南 250012)
摘要: 目的探讨儿童先天性肺动脉瓣狭窄合并房间隔缺损的介入治疗方法和临床随访效果。方法 27例
肺动脉瓣狭窄合并房间隔缺损的患儿,同时进行肺动脉瓣成形术和房间隔缺损封堵术,术后即刻、 1周、3个月、
6个月行超声心动图检查,随访其临床效果。结果 27例经皮球囊肺动脉瓣成形术均获得成功,术后即刻测量跨
肺动脉瓣压力阶差由术前的(79-I-62)mmHg降至(49-I-36)mmHg,术后超声心动图随访过程中跨肺动脉瓣压力阶
差持续下降。超声心动图测量房间隔缺损直径为 3-4~(-I-)mm,选择封堵器的直径为 8~32(-I-
)mm,27例中有 24例成功进行封堵。结论介入治疗肺动脉瓣狭窄并房间隔缺损是一种安全可靠的方法,严
格掌握适应证,特别是房间隔缺损的适应证,可取得良好的临床效果。雎床儿科杂意,2O08,26 :381-383]
关键词: 肺动脉瓣狭窄; 房间隔缺损; 球囊瓣膜成形术; 经导管封堵
中图分类号: R725 文献标识码: A 文章编号: 100lo一3606(20o8)05—0381—03
Combined percutaneous treatment in children with pulmonary valvular stenosis and atrial septal defect
Sil1 Sil1 ,YANG皿,YANG胁 n,LIULi·li,SUN Ruo-peng,ZHA0 Cui-fen,WANG Yu·wei(Department of忍·
atrics,Qilu Hospital ofShandong Univers ofShandongUnivers ,JinanHospital atrics,Qilu 250012,Shandong,China)
Abstract: Objectives To investigate the methodology and follow·up results bined percutaneous treatment binedpercutaneous for results Abstract: follow·up and methodology the Objectives investigate To
in in children with congenitalpulmonary valvular stenosis and septal atrial ethods Twenty-seven patients with
pulmonaryvalvular stenosis and septal atrial defectwere treated echocardiograp