【摘要】 目的分析Ⅰ期分流术后行Ⅱ期矫治术的可行性及结果。方法回顾性总结1999年2月～2006年4月,在我院行过Ⅰ期分流术的11例患者进行Ⅱ期矫治术的病例特点和手术结果。7例行法洛氏四联症根治术,2例行Rastelli手术,2例行腔静脉肺动脉连接术(TCPC)。结果1例因术后低心排死亡,10例存活。术后氧饱和度0.95±0.10。结论复杂先心病Ⅰ期分流术后可促进肺血管发育,为Ⅱ期矫治术的实施提供了成功的条件。更多还原

【Abstract】 Objective Discuss the usage and result of the two-stage radical operation on patients with complex congenital heart disease.Methods Using data from February 1999 to April 2006,the clinical characteristics and operation results had been reviewed.11 patients with complex congenital heart disease had undergone palliative operation in our hospital before and accepted the second-stage radical operation.7 patients underwent radical operation for tetralogy of Fallot,2 patients underwent Rastelli operation,2 patients underwent total cavopulmonary connection operation.Results There was only 1 postoperative death for low cardiac output syndrome.Other patients were cured after operation.The mean SaO2 increased to 0.95±0.10 after operation.Conclusion The palliative operation on patients with complex congenital heart disease is a effective procedure for growth of pulmonary artery,and can provide a successful condition for the second-stage radical operation.更多还原