摘要
目的：总结连续１１５ 例小儿法乐四联症根治术无手术死亡经验。方法：１１５ 例法乐四联症病儿，９ 月龄～１３ 岁，平均（４ ．６ ±２ ．７） 岁，３ 岁以下５５ 例，合并有肺总动脉或一侧肺动脉闭锁４ 例，肺动脉瓣缺如１ 例，合并房间隔缺损和动脉导管未闭１１ 例。全部病儿均施行根治手术，用ｄａｃｒｏｎ 补片修补室间隔缺损，用自体心包作右室流出道及肺动脉扩大，１０２ 例（８９ ％ ） 作了跨瓣环补片。结果：全组无手术死亡。随访２ ～４８ 个月，术后３ 个月１ 例死于心律紊乱，其余均恢复良好。结论：提高小儿法乐四联症根治术成功率的关键是：改进手术方法，彻底解除右室流出道及肺动脉远端梗阻，选用适当的转流技术和重视术后监测。
Aim:One surgical team has continuously performed total correction of tetralogy of Fallot(TOF) in 115 patients without surgical mortality.This paper presents the experience in improving the surgical outcome.Clinical material and methods:115 patients with mean age of 4.6 year underwent surgical repair for their TOF.Among them,47.8% were younger than 3 years old.Associated cardiac anomalies included atresia of main pulmonary artery or one-sided pulmonary artery in 4 cases,atrial septal defect and patent ductus arteriosus in 11.All patients underwent total correction.102 cases(89%)needed a transannular patch.Results:There was no hospital mortality.The patients have been followed up from 2 months to 4 years.One child died three months after operation because of cardiac arrythmia.The remaining patients remain well.Conclusion:Improvement of surgical technique,total relief of obstruction of right ventricular outflow tract and distal pulmonary arteries and proper postoperative care are important factors influecing surgical outcome.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第5期263-265,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
法氏四联症
体外循环
外科手术
Tetralogy of Fallot Surgical treatment Cardiopulmonary bypass
