【摘要】 高原地区由于长期缺氧，肺动脉高压发生率较高。作者报道在高原地区手术治疗１０３例室间隔缺损合并肺动脉高压的治疗体会。作者采用合理的手术切口，术中注意心肌保护措施，术后严密护理，使全组手术死亡率为４．８％，随访９８例，Ⅰ级（优）９３例，Ⅱ级（良）４例，Ⅲ级（劣）１例。作者认为，对于先心病合并肺动脉高压的患者，严格注意围手术期的处理，可以取得良好的治疗效果。更多还原

【Abstract】 patients(52males,51females)suferedfromventricularseptaldefectassociatedwithpulmonaryhypertensionwereoperatedonundersardiopulmonarybypassfrom1981～1995athighaltitude.Theageofthepatientsrangedfrom2to29years.Theratioofpulmonarysystemicarterialpressurewasmorethan0.91(0.91to1.21).Thedefectswereclosedbyusingdacronpatch.Theoper-ativemortalitywas4.8%amongthesurvivals.98patientswerefolowedupforaperiodfrom3monthsto3years(mean2.4years).Excelentresultswereobservedin93patients,andgoodin4.Therewasalatedeath.Onaccountoftheimprovementinsurgicaltechnique,myocardialprotectionandpostopera-tivecare,theresultofoperationwasimprovedmarkedly.更多还原