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　　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)??。”該??(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(zhuǎn)??(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??(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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