SURGICAL-TREATMENT OF PATENT DUCTUS-ARTERIOSUS IN PRETERM INFANTS - 4-YEAR EXPERIENCE WITH LIGATION IN THE NEWBORN INTENSIVE-CARE UNIT
SURGICAL-TREATMENT OF PATENT DUCTUS-ARTERIOSUS IN PRETERM INFANTS - 4-YEAR EXPERIENCE WITH LIGATION IN THE NEWBORN INTENSIVE-CARE UNIT
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DOI：
10.1007/bf02265611
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发表时间：
1982-01-01
影响因子：
1.6
通讯作者：
RUTTENBERG, HD
中科院分区：
文献类型：
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作者：
EGGERT, LD;JUNG, AJ;RUTTENBERG, HD
在我们的新生儿重症监护室（NBICU）进行了连续四年的79例动脉导管未闭（PDA）结扎术。7名婴儿（9%）在手术后一个月内死亡。这些死亡与手术无关，但与既存医疗并发症或新发颅内出血相关。显著的手术发病率是罕见的。我们的结论是，结扎动脉导管未闭的早产儿可以是一个安全和有效的程序时，药物关闭无效或禁忌。此外，PDA结扎可以在NBICU中安全地进行。
Seventy-nine consecutive patent ductus arteriosus (PDA) ligations were performed in our newborn intensive care unit (NBICU) over a four-year period. Seven infants (9%) died within one month after surgery. The deaths were not attributed to the surgery but were associated with preexisting medical complications or new intracranial hemorrhages. Significant surgical morbidity was rare. We conclude that ligation of the PDA in the premature infant can be a safe and effective procedure, when pharmacologic closure is ineffective or contraindicated. Furthermore, PDA ligation may be safely performed in the NBICU.