婴幼儿先天性心脏病合并气管狭窄的基层诊治策略

Objective To explore the diagnostic and therapeutic strategies of congenital heart disease (CHD) complicated with tracheal stemsis at primary hospitals. Methods Retrospective analysis was performed for medical records of 25 CHD children with tracheal stenosis from May 2014 to November 2015. For CHD children complicated with mild-moderate bronchial stenosis, operation was performed only for CHD and early postoperative extubation strategy was implemented. And CHD cases complicated with severe tracheal stenosis were referred to superior hospitals for further treatments. Results Eigh1een children of simple CHD complicated with mild/ moderate tracheal stenosis (ventricular septal defect, atrial septal defect or patent ductus arterious, etc.) were operated and later ventilator was successfully removed (n = 7). Two surgical cases of CHD complicated with severe tracheal stenosis were referred to superior hospitals. Three patients died without surgery. Conclusion A vast ma」ority of infants with simple CHD complicated with tracheal stenosis may be managed conservatively. For infants with severe tracheal stenosis, surgery is rather dangerous at grass-root hospitals and should be transferred to higher level hospitals for tracheal stenting and surgery. © 2019 the authors.

Diagnosis and treatment strategy for infantile congenital heart disease complicated with tracheal stenosis in primary care institutions

Shi Jingtian;He Lunde;Chen Tianfeng(Department of Pediatric Surgery,Municipal Children's Hospital,Teaching Hospital,Fujian Medical College,Quanzhou 362000,China;Department of Radiology,Municipal Children's Hospital,Quanzhou 362000,China)