[1]崔晓环,张建敏,郑铁华,等.极低出生体重早产儿行动脉导管未闭床旁手术的可行性分析[J].临床小儿外科杂志,2020,19(07):627-630.[doi:10.3969/j.issn.1671-6353.2020.07.013]
　Cui Xiaohuan,Zhang Jianmin,Zheng Tiehua,et al.Feasibility analysis of bedside ligation of patent ductus arteriosus in very-low-birth-weight premature infants[J].Journal of Clinical Pediatric Surgery,2020,19(07):627-630.[doi:10.3969/j.issn.1671-6353.2020.07.013]
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极低出生体重早产儿行动脉导管未闭床旁手术的可行性分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第19卷 期数: 2020年07期 页码: 627-630 栏目: 论著 出版日期: 2020-07-15
Title:
Feasibility analysis of bedside ligation of patent ductus arteriosus in very-low-birth-weight premature infants
作者:
崔晓环;  张建敏;  郑铁华;  李立晶;  毛珍慧;  辛忠;  高佳
国家儿童医学中心, 首都医科大学附属北京儿童医院麻醉科(北京市, 100045)
Author(s):
Cui Xiaohuan;  Zhang Jianmin;  Zheng Tiehua;  Li Lijing;  Mao Zhenhui;  Xin Zhong;  Gao Jia
Department of Anesthesiology, Beijing Children’s Hospital, Capital Medical University & National Center for Children’s Health, Beijing 100045, China
关键词:
婴儿;  极低出生体重; 动脉导管未闭/外科学; 可行性研究
Keywords:
Infants;  Very Low Birth Weight; Ductus Arteriosus;  Patent /SU; Feasibility Studies
分类号:
R614.1;R726.1
DOI:
10.3969/j.issn.1671-6353.2020.07.013
摘要:
目的 探讨极低出生体重（very low birth weight，VLBW）早产儿在新生儿重症监护室（neonatel intensive care unit，NICU）行床旁动脉导管未闭（patent ductus arteriosus，PDA）结扎术的必要性及有效性。方法 回顾性分析14例行动脉导管未闭手术的极低出生体重早产儿的临床资料，根据手术地点分为NICU组（8例）和OR （operating room，普通手术室）组（6例），对两组患儿的胎龄、出生体重、围产期情况、术后相关并发症、住院天数等临床资料进行比较分析。结果 两组出生胎龄、出生体重、围产期情况等一般资料差异无统计学意义（P>0.05）；两组术后均无切口感染发生，但NICU组术后低体温发生率明显低于OR组，差异具有统计学意义（P<0.05）。结论 NICU床旁PDA结扎术可降低极低出生体重早产儿PDA手术后低体温发生率，具备一定临床可行性。
Abstract:
Objective To explore the necessity and efficacy of bedside ligation of PDA (patent ductus arteriosus) in very-low-birth-weight (VLBW) premature infants.Methods A total of 14 VLBW premature infants were divided into neonatal intensive care unit (NICU) group (n=8) and operating room (OR) group (n=6).The clinical parameters of age,birth weight,perinatal status,postoperative complications and length of hospital stay were compared.Results No significant inter-group differences existed in age,birth weight,perinatal status or other general profiles.No postoperative incision infection occurred.The incidence of postoperative hypothermia was significantly lower in NICU group than that in OR group and the difference was statistically significant.Conclusion Bedside ligation of PDA is feasible for lowering the incidence of postoperative hypothermia.

参考文献/References:

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备注/Memo

收稿日期:2019-07-21。
通讯作者:张建敏:Email:zjm428@sina.com

更新日期/Last Update: 1900-01-01