三九養(yǎng)生堂記者 鄧肯·蓋伊 報道
精彩| “動??(dong)脈??(mai)導?(dao)管??(guan)是??(shi)胎?(tai)兒?(er)期??(qi)血?(xue)液?(ye)循??(xun)環(huán)??(huan)的??(de)重??(zhong)要??(yao)通??(tong)道?(dao)??，正??(zheng)常??(chang)情??(qing)況??(kuang)下??(xia)??，出??(chu)生??(sheng)后??(hou)可??(ke)自??(zi)行??(xing)關??(guan)閉??(bi)??。??動?(dong)脈?(mai)導??(dao)管??(guan)未??(wei)閉?(bi)屬??(shu)于??(yu)先??(xian)天??(tian)性??(xing)心??(xin)臟??(zang)病?(bing)常??(chang)見??(jian)類??(lei)型??(xing)之??(zhi)一??(yi)??，動??(dong)脈??(mai)導??(dao)管??(guan)持??(chi)續(xù)??(xu)開??(kai)放??(fang)??，讓??(rang)本??(ben)應??(ying)進??(jin)入??(ru)體??(ti)循??(xun)環(huán)??(huan)的??(de)血??(xue)液??(ye)流??(liu)到??(dao)肺?(fei)部??(bu)??，可??(ke)造??(zao)成??(cheng)肺??(fei)水??(shui)腫??(zhong)、肺??(fei)動??(dong)脈??(mai)高??(gao)壓?(ya)、呼??(hu)吸??(xi)衰??(shuai)竭??(jie)、心??(xin)力??(li)衰??(shuai)竭??(jie)等??(deng)問??(wen)題??(ti)???！痹??(gai)院??(yuan)胸??(xiong)心??(xin)外??(wai)科??(ke)主??(zhu)任??(ren)潘??(pan)征??(zheng)夏??(xia)說??(shuo)???！ 〗?jīng)??(jing)過?(guo)多??(duo)學??(xue)科??(ke)會??(hui)診??(zhen)、科??(ke)內(nèi)??(nei)疑??(yi)難??(nan)病??(bing)例??(li)討?(tao)論??(lun)??，團??(tuan)隊??(dui)一??(yi)致??(zhi)認??(ren)為??(wei)患??(huan)兒??(er)動??(dong)脈??(mai)導??(dao)管??(guan)未??(wei)閉??(bi)結??(jie)扎??(zha)手?(shou)術??(shu)勢??(shi)在??(zai)必??(bi)行??(xing)?。??但?(dan)對??(dui)危??(wei)重??(zhong)癥?(zheng)新??(xin)生??(sheng)兒??(er)來??(lai)說??(shuo)??，尤??(you)其??(qi)是??(shi)極??(ji)低??(di)出??(chu)生??(sheng)體??(ti)重??(zhong)兒??(er)??，輕??(qing)微??(wei)的??(de)外?(wai)界??(jie)刺??(ci)激??(ji)都??(dou)會??(hui)引??(yin)起??(qi)氧??(yang)合?(he)下??(xia)降??(jiang)、血??(xue)壓??(ya)波??(bo)動??(dong)、體?(ti)溫??(wen)驟??(zhou)降??(jiang)等??(deng)??，即??(ji)便??(bian)是??(shi)轉??(zhuan)運??(yun)到??(dao)手?(shou)術??(shu)室??(shi)那??(na)一??(yi)小??(xiao)段??(duan)距??(ju)離??(li)??，都??(dou)是??(shi)對??(dui)其??(qi)生?(sheng)命?(ming)的??(de)極??(ji)大??(da)威??(wei)脅??(xie)?。為??(wei)了??(le)最??(zui)大??(da)限??(xian)度??(du)保??(bao)證??(zheng)患??(huan)兒??(er)安?(an)全??(quan)??，醫(yī)??(yi)院?(yuan)決?(jue)定??(ding)在??(zai)新??(xin)生??(sheng)兒??(er)科??(ke)層??(ceng)流??(liu)病?(bing)房??(fang)為??(wei)患??(huan)兒??(er)實??(shi)施?(shi)床??(chuang)旁??(pang)手??(shou)術??(shu)?。不??(bu)在??(zai)手??(shou)術??(shu)室??(shi)進??(jin)行??(xing)手?(shou)術??(shu)??，意??(yi)味??(wei)著??(zhe)層??(ceng)流??(liu)病??(bing)房??(fang)需??(xu)要??(yao)盡??(jin)可??(ke)能??(neng)百??(bai)分??(fen)百??(bai)“復??(fu)刻?(ke)”手??(shou)術??(shu)室??(shi)的??(de)環(huán)??(huan)境??(jing)要?(yao)求??(qiu)??，達??(da)到??(dao)手??(shou)術??(shu)潔??(jie)凈??(jing)標??(biao)準??(zhun)?。為??(wei)此??(ci)??，醫(yī)??(yi)院??(yuan)進??(jin)行??(xing)了??(le)充??(chong)分??(fen)的??(de)準??(zhun)備?(bei)??，以??(yi)確??(que)保??(bao)手??(shou)術??(shu)安??(an)全??(quan)?。手??(shou)術??(shu)當??(dang)天??(tian)??，醫(yī)??(yi)生??(sheng)們??(men)成??(cheng)功??(gong)實?(shi)施??(shi)了??(le)床??(chuang)旁??(pang)經(jīng)??(jing)胸??(xiong)動??(dong)脈??(mai)導祝(dao)管??(guan)結??(jie)扎??(zha)術??(shu)??，用??(yong)時??(shi)僅??(jin)30分??(fen)鐘??(zhong)??，術??(shu)中??(zhong)及??(ji)術??(shu)后??(hou)患??(huan)兒??(er)生??(sheng)命?(ming)體?(ti)征??(zheng)均??(jun)平??(ping)穩(wěn)??(wen)?。
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責編：楊之光
審核：吉尼
責編：呂程平
