完全型房室间隔缺损的外科疗效及其危险因素分析

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Abstract Objective To summary operative characteristics and evaluate the risk factors for correction of complete atrioventricular septal defect(CAVSD)in order to improve the surgical treatment.Methods We reviewed the information of 152 consecutive patients who underwent the correction of CAVSD from 2009 to 2018.The patients were divided into two groups based on post-operative vicious complications The effect of operation and the risk factors for the early post-operative death and vicious complications were analyzed by Logistic regression analysis.Results 18 patients(11.8% ) suffered from vicious complications at the early post-operative stage, including 6 patients low cardiac output syndrome, 4 patients pulmonary hypertensive crisis,4 patients capillary leak syndrome,2 patients ventricular septal defect(diameter≥5 mm),one patient Ⅱ°Ⅱ type atrioventricular block. The statistic analysis indicated that age(OR=1.063,95%CI 1.406-1.082), pulmonary artery systolic pressure(OR=1.038,95%CI 1.012-1.070),left atrioventricular valve regurgitation(OR=1.296,95%CI 1.193-1.387)and aortic cross clamp time(OR=1.172,95%CI 1.008-1.352) were the high risk factors for vicious complications(P<0.05).Conclusions To improve the effect of operation, we can choose appropriate age at the time of surgery, reduce pulmonary arterial hypertension, use reasonable surgical procedure and protect atrio-ventricular valve.

Key words： complete atrioventricular septal defect surgical effect risk factors

Received: 18 February 2021

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	Articles by authors
	MA Hao
	WANG Lixin
	XUE Yan
	SHI Haiyan
	XU Dong

Cite this article:

MA Hao,WANG Lixin,XUE Yan等. Effect and Risk Factor Analysis for Complete Atrioventricular Septal Defect[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(5): 373-377.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I5/373

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