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85例小儿法乐四联症根治术体会

SURGICAL TREATMENT OF TETRALOGY OF FALLOT

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【作者】 左景珍于昂曾仪林贵宪周启宇

【Author】 Zuo Jing-Zhen; Yu Ang; Zeng Yi; et al.(Department of Cardiovascular Surgery, Tianjin Chest Hospital,Tianjin)

【机构】 天津市胸科医院心脏外科

【摘要】 自1988年以来共收治小儿法乐四联症85例,其中男54例,女31例,年龄2岁2个月至14岁,其中3岁以下者12例(14.1%)。右心导管及右心室造影检查:右室压力10.67~16.00kPa(80~120mmHg),主动脉骑跨25%~75%。手术采用深低温停循环15例,其余均在中低温(25~26℃)体外循环下施行心内根治术。平均机器转流时间为85分钟,主动脉阻断55分34秒。手术要点:右室流出道狭窄疏通;室间隔缺损修补;体外循环灌流技术及术后监护。本组术后早期死亡8例,死亡率为9.4%,随访0.5~4年。

【Abstract】 Since 1988, corrective operations were performed on 85 patients(54 males, 31 females) with tetralogy of Fallot in our hospital. The patients aged 2 yr. 2 mo. 14 yr. and 12 were under 3 years(14.1%). All of the patients underwent cardiac catheterization with right renticular pressure ranged from 10. 7 to 16. 0 kPa(80to 120 mmHg), and dextroposition of the aorta from 25% to 75%. 15 cases were operated under profound hypothermia and circulatory arrest while the rest under moderate systemic hypothermia. The total time of aortic cross clamping averaged 55 minutes and 34 seconds; bypass time 85 minutes. The operative mortality was 9. 4%. The postoperative quality of life of the patients was satisfactory in a follow-up period of 0. 5-4years.

【关键词】 法乐四联症外科
【Key words】 Tetralogy of FallotSurgery
  • 【文献出处】 中国循环杂志 ,CHINESE CIRCULATION JOURNAL , 编辑部邮箱 ,1995年05期
  • 【分类号】R654.2
  • 【下载频次】14
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