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法洛四联症的围术期处理

Perioperative management for tetralogy of Fallot

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【作者】 周晓刘学刚

【Author】 ZHOU Xiao,LIU Xue-gang(Department of Cardiothoracic Surgery,Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China)

【机构】 蚌埠医学院附属医院心胸外科蚌埠医学院附属医院心胸外科 安徽蚌埠233004安徽蚌埠233004

【摘要】 目的:总结法洛四联症矫正手术围术期主要并发症的发生率及处理经验。方法:对17例法洛四联症患者的一般临床资料、术前心功能状态和手术结果进行分析。结果:无手术死亡。术后并发低心排出量综合征3例,呼吸衰竭2例,灌注肺及心包内出血各1例。随访3~6个月,无晚期死亡及并发症发生。结论:熟练掌握法洛四联症矫正手术技术,合理选择适应证,及早发现和正确处理并发症是提高疗效、降低围术期死亡率的关键。

【Abstract】 Objective:To review the perioperative management for tetralogy of fallot(TOF).Methods:Seventeen patients with tetralogy of fallot received surgical treatments,and the clinical data,preoperative heart function and surgical results were reviewed and analysed.Results:There was no early or late death,and no myocardical infarction.The follow-up ranged from 3 months to half a year.No residual leakage or obstruction of right ventricle outflow tract occurred.Conclusions:Proper selection of indications,early detection and appropriate management of postoperative complication are essential to the surgical outcome.

  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2006年03期
  • 【分类号】R654.2
  • 【被引频次】4
  • 【下载频次】85
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