Home>>2023 05 issue list
[401£­406] Focusing more upon cardiac rehabilitations after congenital heart disease surgery for improving life quality of whole life cycle
[Liu Xiwang, Xu Weize, Shu Qiang]
DOI:10.3760/cma.j.cn101785-202209021-001
[Absract] Objective Congenital heart disease (CHD) is the most common birth defect.With continuous improvements of diagnostic and therapeutic technology and refinements of management strategies,its mortality has declined steadily.After CHD surgery,cardiac rehabilitation is vital for improving patient prognosis and enhancing their quality-of-life.As a cost-effective treatment strategy for CHD,it is becoming an integral part of treating CHD.In China,cardiac rehabilitation after CHD surgery has a l... [MORE...]
[PDF:5301KB](252)
[407£­411] Current status and future prospects of mini-invasive surgery for congenital heart disease
[Mo Xuming, Chen Runsen]
DOI:10.3760/cma.j.cn101785-202305003-002
[Absract] Objective Mini-invasive surgery for congenital heart disease (CHD) in children includes small-incision mini-invasive surgery,mini-invasive transthoracic device closure,video-assisted thoracoscopy,robot-assisted surgery and hybird surgery.And a broader concept of mini-invasive surgery also incorporates mini-invasive strategies for cardiopulmonary bypass and conceptual applications of neuroprotection and accelerated rehabilitation in intensive care unit.Right subaxillary small incision i... [MORE...]
[PDF:3679KB](217)
[412£­418] Comparative analysis of perimembranous and high ventricular septal defects closure via an ultra-minimal trans-intercostal incision guided by transesophageal echocardiography in children
[Fu Xingpeng1, Ye Jingjing1, Yu Jin1, Zhang Zewei2, You Hairong1, Tan Linhua3]
DOI:10.3760/cma.j.cn101785-202212030-003
[Absract] Objective Objective To explore the characteristics and prognoses of perimembranous and high ventricular septal defects (VSD) closure via a ultra-minimal trans-intercostal incision (i.e.left parasternal intercostal ultra-minimal incision¡Ü1 cm) in children guided by transesophageal echocardiography (TEE) and provide references for such mini-invasive surgery.Methods From January 2015 to December 2021,344 cases of VSD closure via a left parasternal ultra-minimal trans-int... [MORE...]
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[419£­424] A comparative study of right subaxillary small incision approach and traditional median sternal incision approach for ventricular septal defect
[Chen Yong, Mo Xuming, Chen Runsen, Qi Jirong, Peng Wei, Wu Kaihong, Sun Jian, Yu Di, Zhang Yuxi, Wang Zhiqi, Yang Yuzhong, Zhuang Zhulun, Da Min, Hu Yuanli, Qian Bo]
DOI:10.3760/cma.j.cn101785-202305005-004
[Absract] Objective Objective To compare the clinical efficacy,safety and effectiveness of small right axillary incision versus traditional median sternal incision for ventricular septal defect (VSD).Methods The relevant clinical data were retrospectively reviewed for 937 hospitalized VSD children from October 2020 to January 2023.They were divided into two groups of right axillary incision (n=487) and median incision (n=450) according to surgical approach.The maj... [MORE...]
[PDF:4041KB](198)
[425£­430] Treatment of complete anomalous pulmonary venous drainage with obstruction
[Ying Liyang, Liu Xiwang, Yu Jiangen, Li Jianhua, Zhang Zewei, Shu Qiang]
DOI:10.3760/cma.j.cn101785-202204072-005
[Absract] Objective Objective To summarize and evaluate the therapeutic effect of total anomalous pulmonary venous drainage with obstruction.Methods The clinical data of 189 children treated with TAPVC surgery in Children¡¯s Hospital Affiliated to Zhejiang University School of Medicine from January 2010 to December 2019 were retrospectively analyzed,including 36 cases in the obstruction group and 153 cases in the non-obstruction group.The obstruction group contained 20 males and... [MORE...]
[PDF:3811KB](187)
[431£­435] Total thoracoscopic ligation of patent ductusarteriosus in children:a report of 32 cases
[Chen Runsen, Mo Xuming, Qi Jirong, Peng Wei, Wu Kaihong, Sun Jian, Yu Di, Zhang Yuxi, Wang Zhiqi, Yang Yuzhong, ZhuangZhulun, Da Min, Hu Yuanli, Qian Bo, Chen Yong]
DOI:10.3760/cma.j.cn101785-202305004-006
[Absract] Objective Objective To evaluate the efficacy and safety of thoracoscop in the treatment of patent ductus arteriosus (PDA) in children.Methods From January 2017 to April 2023,clinical data were retrospectively reviewed for 32 PDA children undergoing thoracoscopy.There were 15 boys and 17 girls with a median age of 52(6-158) month and a median weight of 18.5(9.1-42.3) kg.Operative duration,volume of intraoperative blood loss,volume of postoperative thoracic drainage,dra... [MORE...]
[PDF:3607KB](212)
[436£­442] Recent advances of mechanical circulation treatment for end-stage idiopathic cardiomyopathy in children
[Sun Mingwei, Yang Lijun, Lin Ru]
DOI:10.3760/cma.j.cn101785-202205011-007
[Absract] Objective Idiopathic cardiomyopathy (ICM) is a rare pediatric disease with a poor prognosis.Current end-stage management of ICM is composed mostly of routine correcting heart failure (HF) and heart transplantation (HT).Some individuals die from a shortage of donor heart or non-suitability for HT.Mechanical circulation supports might improve the prognosis of end-stage patients.However,their applications have not been implemented for ICM children in China.Based upon current management gu... [MORE...]
[PDF:5268KB](171)
[443£­446] Clinical analysis and surgical treatment of Takayasu arteritis in a child misdiagnosed as dilated cardiomyopathy
[Wei Yalin, Wu Xiangyang]
DOI:10.3760/cma.j.cn101785-202207048-008
[Absract] Objective Takayasu arteritis (TA) is a type of chronic vasculitis mainly involving the aorta and its primary branches.The annual incidence ranges from 0.4/1 000 000 to 2.6/1 000 000.It is common in Asian women of childbearing age.Aortitis has great harm to the cardiovascular and cerebrovascular system,and the fatality rate and disability rate are very high.Therefore,correct diagnosis and early treatment are very important in clinic. However,the incidence of pediatric aortitis is occult... [MORE...]
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[447£­453] Effects of S-ketamine on emergence agitation during general anesthesia of pediatric ambulatory laparoscopy
[Qiu Jinpeng, Cao Huixia, Zhu Zhirui, Jin Haiyan]
DOI:10.3760/cma.j.cn101785-202205084-009
[Absract] Objective Objective To explore the effects of S-ketamine on the emergence agitation during general anesthesia of pediatric ambulatory laparoscopy.Methods From March 2022 to May 2022,114 children underwent ambulatory laparoscopic hernia repair.They were randomized into two groups of S-ketamine (S) and normal saline (N) (n=57 each).Then group S received an intravenous injection of S-ketamine 0.5 mg/kg while group N had the same volume of normal saline during anes... [MORE...]
[PDF:4375KB](189)
[454£­459] Application value of Doppler ultrasonography in the diagnosis of hepatic artery stenosis after liver transplantation in children
[Li Wenfeng, Chen Wenjuan, Zhou Mengjie, Yao Taoyue, Huang Ting, Liu Jinqiao]
DOI:10.3760/cma.j.cn101785-202209034-010
[Absract] Objective Objective To explore the ultrasonographic features and examine its diagnostic value in hepatic artery stenosis (HAS) after pediatric liver transplantation (LT).Methods Clinical data were retrospectively reviewed for 12 children undergoing LT from July 2018 to July 2022.Ultrasonic parameters of hepatic artery were detected,such as intrahepatic artery (IHA),peak systolic velocity (PSV),end-diastolic velocity (EDV),resistance index (RI),systolic acceleration ti... [MORE...]
[PDF:3895KB](181)
[460£­464] Clinical research of supracondylar osteotomy determined by bisectors for cubitus varus deformity in children
[Zhu Lining1, Xia Tian2, Zhou Min1, Ma Ruixue2, Gan Xianmin1]
DOI:10.3760/cma.j.cn101785-202205052-011
[Absract] Objective Objective To explore the clinical efficacy and advantages of supracondylar osteotomy determined by bisectors for cubitus varus deformity in children.Methods Clinical data were retrospectively reviewed for 35 children with cubitus varus deformity treated by supracondylar osteotomy determined by bisectors from January 2016 to December 2020.There were 27 boys and 8 girls.The involved side was left (n=21) and right (n=14).Preoperative carrying angl... [MORE...]
[PDF:3554KB](177)
[465£­470] Clinical symptoms and postoperative complications in ruptured and complete hydatid groups:a comparative study
[Azamat¡¤Azat, Zhang Guoming, Amantuer¡¤Jieenshen, Yidilisi¡¤Awuti]
DOI:10.3760/cma.j.cn101785-202202001-012
[Absract] Objective Objective To explore the differences in general profiles,clinical symptoms and postoperative complications between children with complete pulmonary hydatid and those with pulmonary hydatid rupture.Methods From January 1,2016 to December 31,2021,retrospective review was performed for clinical data of operated children with pulmonary hydatid disease.They were assigned into two groups of pulmonary hydatid rupture and complete pulmonary hydatid by whether pulmon... [MORE...]
[PDF:4151KB](217)
[471£­475] Infant hepatic hilar hemangioendothelioma plus Kasabach-Merritt syndrome causing biliary obstruction:one case report and literature review
[Li Nan, Wang Jianjun, Huang Zhaorong, Luo Caiyun, Yang Huirong, Hou Xinwei, Yang Jiaming, Wu Kai]
DOI:10.3760/cma.j.cn101785-202202001-013
[PDF:4062KB](215)
[476£­479] Nodular sclerosis with subependymal giant cell astrocytoma:a report of two cases with a literature review
[Yang Shaobo, Zhao Jie]
DOI:10.3760/cma.j.cn101785-202202001-014
[PDF:3242KB](189)
[480£­484] Application of ultrasound screening of hip joint and screening system in early diagnosis of infant developmental hip dysplasia
[Hou Peisi1, Liu Wanlin2, Zhao Zhenqun2, Wang Yong2]
DOI:10.3760/cma.j.cn101785-202211058-015
[Absract] Objective Developmental dysplasia of the hip (DDH) is one of the most common and yet easily ignored skeletal diseases in infants.If a definite diagnosis is delayed and optimal treatment time missed,hip function shall be severely affected.Difficult correcting of joint deformities lead to permanent disability.Currently hip ultrasound has become a gold standard for its early diagnosis,including selective and universal ultrasonic screening modes.However,unification of screening modes has n... [MORE...]
[PDF:4184KB](198)
[485£­489] Research advances of subacute osteomyelitis in children
[Li Yaqin, Li Lun, Xu Taotao, Zhou You, Kang Xiaopeng]
DOI:10.3760/cma.j.cn101785-202211063-016
[Absract] Objective Subacute osteomyelitis is frequently encountered in children and adolescents,affecting epiphysis of long shaft of extremities.And the pathogenic bacteria are Staphylococcus aureus or Streptococcus.It often has an occult onset with mild and non-typical symptoms and signs.Parameters of laboratory examination are generally normal or slightly elevated.Therefore it is easily underdiagnosed and misdiagnosed so that treatment becomes delayed.Upon a definite diagnosis,conservative tr... [MORE...]
[PDF:4019KB](193)
[490£­495] Systematic review of safety and quality of life of living liver donors
[Huang Mingzhu1, Lu Ying1, Lin Dongni1, Ren Xuefei2]
DOI:10.3760/cma.j.cn101785-202208019-017
[Absract] Objective Living donor liver transplantation (LDLT) is an integral part of clinical liver transplantation (LT).It has been a major choice of pediatric LT in mainland China.Though LDLT may expand the donor liver pool and save life for recipients on a waiting list.Also it puts healthy donors at the risk of surgery and affect their postoperative quality-of-life.Through a literature review,donor safety (mortality & complications) and quality-of-life post-donation (physical symptoms,psy... [MORE...]
[PDF:4693KB](234)
[496£­500] Research Progress in the Treatment of Supracondylar Humerus Fracture in Children with Joystick assisted Closed Reduction Technique
[Zhao Huricha, Xiong Zixuan, Gao Yuan, Guo Yu, Qi Kai, Chen Yunpeng, Huang Zhiming, Wei Yishan]
DOI:10.3760/cma.j.cn101785-202207044-018
[Absract] Objective Supracondylar humerus fracture is a common type of fracture in children, mostly occurring in children aged 5-8 years. Currently preferred treatment for displaced supracondylar humeral fractures is closed reduction and percutaneous pinning (CRPP).The advantages of closed reduction and percutaneous pinning are minimal trauma,less pain and less hemorrhage to adjacent soft tissue and blood flow.And also it significantly lowers the incidence of limb infection.However,for some refr... [MORE...]
[PDF:4027KB](191)