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頁籤選單縮合
題 名 | Surgical Closure of Patent Ductus Arteriosus in Preterm Infants at Neonatal Intensive Care Unit=加護病房中執行的開放性動脈導管手術治療 |
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作 者 | 林錦德; 劉萬雄; 鄭伯智; 王麟玉; 陳德人; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 44:5 民92.09-10 |
頁 次 | 頁287-291+320 |
分類號 | 417.5171 |
關鍵詞 | 開放性動脈導管手術; 早產兒; 手術治療; 新生兒加護病房; Patent ductus arteriosus; Preterm; Surgery; Newborn intensive care unit; |
語 文 | 英文(English) |
中文摘要 | 我們收集從1997年一月至2002年六月間,本院新生兒加護病房中出生體重小於2000g早產兒的病例,在399個存活超過一星期的早產兒中,111個早產兒被診斷有開放性動脈導管。其中17個嬰兒接受開放性動脈導管手術治療,接受手術治療的條件是(l)依賴呼吸器或合併有攀血性心衰竭(2)indomethacin治療失敗。這17個早產兒平均妊娠年齡及平均出生體重分別為26.9±2.4週(23~32週)及978.8±360.19(494~1920g);手衍時的平均年齡及平均體重分別為28.1±12.4天(13~61 days)及950.8±390.49(402~2120g)。所有的手術治療全部在新生兒加護病房中由開刀房人員執行,以排除嬰兒轉送過程的危除性。沒有嬰兒於手術中死亡,有三個嬰兒因其他病因死亡,其中一個嬰兒死因為敗血症,而其他二個嬰兒死因為疑似敗血症。只有二個嬰兒於手術後出現敗血症,一個是左側氧胸合併皮下氣腫,另一個是右上肺葉塌陷。我們結論是,當indomethacin治潦失敗或有禁忌時,於新生兒加護病房中執行的開放性動脈導管手術治療是安全且有效的。 |
英文摘要 | Between January 1997 and June 2002, we retrospectively reviewed the records of all premature infants (birth weight less than 2000g) admitted to the newborn intensive care unit (NICU) at Chi Mei Medical Center. Among the 399 premature infants (birth weight less than 2000g) surviving more than one week, 111 infants were diagnosed with patent ductus arteriosus (PDA). Seventeen premature infants underwent surgical closure of PDA after failure of indomethacin treatment. The indication for surgical closure of FDA was ventilator dependence and/or congestive heart failure in infants with echocardiographic evidence of a ductus arteriosus. The mean gestational age and birth weight were 26.9±2.4 weeks (range 23~32 weeks) and 978.8±360.1 g (range 494~1920g), respectively. The mean age and weight at the time of operation were 28.1±12.4 days (range 13~61 days) and 950.8±390.4 g (range 402~2120 g), respectively. All the operation procedures were performed in our NICU, using operating room personnel, thus eliminating the risks of patient transport. There was no intraoperative death. Three infants died in hospital due to other problems. One died of sepsis and the other two died due to bronchopulmonary dysplasia (BPD) and suspected sepsis. There were only two infants who had complications after surgical closure of PDA. One infant had left pneumothorax with subcutaneous emphysema and the other one had right upper lung collapse. We conclude that surgical closure of the FDA for the premature infant can be a safe and effective procedure performed in the NICU, when indomethacin closure is ineffective or contraindicated. |
本系統中英文摘要資訊取自各篇刊載內容。