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摘要: 目的：分析先天性心脏病（CHD）介入治疗未成功的原因及防治措施。方法：对1 077例CHD患者进行介入治疗，回顾性分析介入治疗一次未成功的25例患者的临床资料。结果：1 077例CHD患者中，介入治疗未成功率为2.32%（25/1 077）。其中房间隔缺损封堵术中7例封堵未成功，占2.31%（7/303）；动脉导管未闭封堵术中2例封堵未成功，占0.65%（2/310）；室间隔缺损封堵术中16例封堵未成功，占3.80%（16/421）；肺动脉瓣球囊成形术中43例介入治疗均成功。结论：CHD介入治疗是一种微创而有效的治疗方法，重视影响手术不成功的因素可提高手术成功率。Abstract: Objective: To analyze the reasons and prevention for failed interventional therapy in congenital heart disease(CHD). Method: A total of 1 077 CHD cases who received interventional therapy were analyzed retrospectively.Twenty-five cases out of the 1 077 cases whose interventional therapy were unsuccessful at the first time were selected and analyzed. Result: In 1 077 cases recieving interventional therapy, the rate of failure was 2.32%(25/1 077).The interventional therapy were unsuccessfull in 7 cases of 303 atrial septal defect cases, 2 cases of 310 patent ductus arteriosus cases, 16 cases of 421 ventricular septal defect cases, and accouted for 2.31%(7/303), 0.65%(2/310) and 3.80%(16/421) respectively.The percutaneous balloon pulmonary valvuloplasty therapy for 43 cases were all successful. Conclusion: Interventional therapy is a minimally invasive and effective treatment for CHD diseases.To increase the successful rate, we should pay more attention to the factors that may lead to the failure.
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Key words:
- congenital heart disease /
- interventional therapy /
- occlusion
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