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| 1 | 新生儿完全性肺静脉异位引流的矫治及预后相关危险因素分析显示文摘目的评价单中心的新生儿完全性肺静脉异位引流(total anomalous pulmonary venous connection,TAPVC)外科矫治情况,评估手术的危险因素。方法纳入2002年9月至2014年3月在我院行TAPVC外科矫治的新生儿患者74例,其中男59例、女15例,中位手术年龄10.5 d。心上型35例(47.3%)、心内型16例(21.6%)、心下型17例(23.0%)、混合型6例(8.1%)。采用Cox多因素分析死亡的危险因素,用Binary logistic回归分析术后吻合口或肺静脉狭窄的危险因素。结果共有18例患儿死亡。不同分型的死亡率:心上型占25.7%(9/35),心内型占18.8%(3/16),心下型占17.6%(3/17),混合型占50.0%(3/6)(P=0.413)。术后早期发生吻合口或肺静脉狭窄13例,心上型占17.1%(6/35),心内型占12.5%(2/16),心下型占17.6%(3/17),混合型占33.3%(2/6)(P=0.700)。术后发生吻合口或肺静脉狭窄21例,10例患儿死亡[47.6%(10/21)vs.15.1%(8/53),P=0.003],差异有统计学意义。手术后死亡的独立影响因素为体重<3 kg(P=0.036)。术后吻合口或肺静脉狭窄的发生与使用Sutureless与否(P=0.010)及机械通气时间相关(P=0.000)。结论 Sutureless技术可有效降低术后吻合口或肺静脉狭窄的几率,术后发生吻合口或肺静脉狭窄的患儿死亡率明显增高,体重<3 kg是术后死亡的独立危险因素,应引起临床医生的高度重视。 | 李晓华 庄建 陈寄梅 岑坚正 丁以群 温树生 许刚 高强 罗丹东 | 2015 | 中国胸心血管外科临床杂志2015，22，12： | 14 |
| 2 | Pulmonary vein stenosis:Etiology,diagnosis and management显示文摘Pulmonary vein stenosis(PVS) is rare condition characterized by a challenging diagnosis and unfavorable prognosis at advance stages. At present, injury from radiofrequency ablation for atrial fibrillation has become the main cause of the disease. PVS is characterized by a progressive lumen size reduction of one or more pulmonary veins that, when hemodynamically significant, may raise lobar capillary pressure leading to signs and symptoms such as shortness of breath, cough, and hemoptysis. Image techniques(transesophageal echocardiography, computed tomography, magnetic resonance and perfusion imaging) are essential to reach a final diagnosis and decide an appropriate therapy. In this regard, series from referral centers have shown that surgical and transcatheter interventions may improve prognosis. The purpose of this article is to review the etiology, assessment and management of PVS. | Pablo Pazos-López Cristina García-Rodríguez Alba Guitián-González Emilio Paredes-Galán María ángel De La Guarda álvarez-Moure Marta Rodríguez-álvarez José Antonio Baz-Alonso Elvis Teijeira-Fernández Francisco Eugenio Calvo-Iglesias Andrés íniguez-Romo | 2016 | World Journal of Cardiology2016，8，1： | 6 |
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