Complete atrioventricular septal defect repair

Once diagnosed, surgery should be performed within 1 year of age. There is severe pulmonary hypertension, and those with purpura should not be operated when they are calm. Postoperative patients should be monitored in the intensive care unit (icu). Need to monitor ECG, heart rate, arterial pressure, central venous pressure; critically ill patients should be left atrial pressure, and even for cardiac output monitoring. Patients with stable circulation should be recorded once every 15 minutes, and critically ill patients should be recorded once every 5 minutes. The volume of urine and the drainage of the chest drainage tube were recorded every hour. Blood gas analysis, serum potassium, hemoglobin and cell volume should be measured as needed. The guardianship staff should be good at observing the development of the disease, and should analyze the development trend at any time, and do not wait for obvious abnormalities to pay attention. Treatment of diseases: atrial septal defect in children with atrial septal defect ventricular septal defect Indication 1. Once diagnosed, surgery should be performed within 1 year of age. 2. There is severe pulmonary hypertension, and those with purpura should not be operated when they are calm. Preoperative preparation 1. Cardiopulmonary bypass surgery routine preparation. 2. Pulmonary hypertension is intravenously infused with sodium nitroprusside for 7-10 days. 3. Repeated infections are treated with antibiotics. Surgical procedure 1. The sternal midline incision. 2. Cut the happy package and verify the diagnosis. 3. Conventional establishment of extracorporeal circulation. 4. Make a right atrial incision in the parallel atrioventricular sulcus, observe the deformed structure, and design a surgical plan. 5. Cut the valve junction and repair the mitral valve. 6. The patch is repaired and the valve leaf is fixed on the patch. 7. Repair the primary sputum L room and tricuspid valve.

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