摘要
目的本研究旨在总结婴儿法洛四联症（TOF）一期根治的手术经验。方法回顾性分析2002年8月-2006年11月我院收治的16例法洛四联症临床资料，其中男11例，女5例，年龄5.5-12个月，体重7-10kg。16例中合并房间隔缺损2例，动脉导管未闭1例，左上腔残存1例。术前均经二维超声心动图检查明确诊断。均在体外循环下行一期根治性手术，术毕行改良超滤。结果16例平均体外循环时间93.5min，主动脉阻断时间55.5min，平均呼吸机辅助通气时间42h，ICU停留时间4d，平均住院时间15d。15例治愈，1例死亡。15例随访4个月-4年，患儿紫绀消失，生长发育正常。结论婴儿法洛四联症一期根治性手术是可行的，手术方法、体外循环技术的改进以及术后高质量的监护是手术成功的关键。
Objective The purpose of this study was to summarize the experience of diagnosis surgical treatment and myocardial preservation of infant tetralogy of fallot. Methods 16 cases infants with TOF undergoing werecompletely repaired between Aug. 2002 and Nov. 2006 were reviewed at our department.11 male and 5female, their operating ages ranged from5.5 months-12months. The weight was 7- 10Kg. The concomitant lesion included atrial septal defect in 2 patients, patent ductus arteriosus in lpatients and left-sided superior vena cava in lpatients.All patients were diagnosed throught two-dimensional and Dopplere-chocardiog raphy. Primary correction was perfoltned on all patients under cardiopulm onary bypass. All patients were used modified ultrafihration （MUF） in CPB. Results there was one operative death （6.25%）. The mean bypass and aorticcross-clamp time were 93.5 and 55.5 minutes respectively. The mean ventilation time ICU stay and postoperative hospital stay were 42 hours 4 days and 15 days respectively.15 patients were followed up 4 months-4 years and all were asymptomatic and improved in physical development. Conclusions one stage surgical treatment is feasible and advantageous to the infants with tetralogy of fallot, improving surgical and cardiopulmonary bypass technique and postoperative care attribute to the success of repair of tetralogy of fallot in infants.
出处
《临床小儿外科杂志》
CAS
2007年第5期11-13,共3页
Journal of Clinical Pediatric Surgery
