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一岁以内婴儿法洛四联症纠治术 被引量:21

Correction of tetralogy of Fallot in the first year of life
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摘要 目的 总结婴儿法洛四联症 (TOF)的纠治经验 ,以提高婴儿 TOF纠治术的成功率。 方法  1999年 3月~ 2 0 0 1年 11月我科收治 4 3例小于 1岁 TOF患者 ,术前均经二维超声心动图或心导管造影检查确诊 ,均在体外循环下行纠治手术 ,其中 5例行急诊手术。 结果 手术近期死亡 1例 (2 .3% ) ,30例患者随访 1~ 18个月 ,恢复良好 ,紫绀消失 ,生长发育明显加快。 结论 小于 1岁婴儿行 TOF纠治术是安全可靠的 ,对反复缺氧发作的 TOF患者 ,强调早期手术 ;对缺氧发作呈持续状态的患者要考虑行急诊手术。改善手术及体外循环方法 ,加强术后监护是提高婴儿TOF纠治术成功的关键。 Objective To report experience with primary correction of tetralogy of Fallot in infants. Methods Forty-three consecutive infants younger than one year underwent primary correction of tetralogy of Fallot at our department from March 1999 to November 2001. All patients were diagnosed through two-dimensional and Doppler echocardiography or cardioangiography. Primary correction was performed on all patients under cardiopulmonary bypass. Five patients were operated in emergency. Results There was one operative death (2.3%). Thirty patients were followed up 1-18 months and all were asymptomatic and improved in physical development. Conclusion These data strongly support the early repair of tetralogy of Fallot. It is associated with an acceptable operative risk. The urgent operation is emphasized on patients with severe hypoxic spell. Improving surgical and cardiopulmonary bypass technique and postoperative care attribute to the success of repair of tetralogy of Fallot in infants.
出处 《中国胸心血管外科临床杂志》 CAS 2003年第2期108-110,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
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  • 1刘锦纷,朱宏斌,朱德明,陈玲,苏肇伉,丁文祥.连续115例小儿法乐四联症外科治疗无手术死亡经验[J].中华胸心血管外科杂志,1999,15(5):263-265. 被引量:35
  • 2陈恩,苏肇伉,丁文祥,曹鼎方,徐志伟,刘锦纷.法乐四联症的早期外科治疗[J].中华小儿外科杂志,1996,17(4):204-206. 被引量:16
  • 3Bacha EA, Scheule AM, Zurakowski D, et al, Long-term. results after early primary repair of tetralogy of Fallot. J Thorac Cardiovasc Surg, 2001, 122(1):154-161.
  • 4Boening A, Scheewe J, Regensburger D, et al. Correction of tetralogy of Fallot: does the time period of surgery influence the outcome? Thorac Cardiovasc Surg, 2001,49(4):210-215.
  • 5Alexiou C, Mahmoud H, A1-Khaddour A, et al. Outcome after repair of tetralogy of Fallot in the first year of life. Ann Thorac Surg, 2001,71(2):494-500.
  • 6Stellin G, Milanesi O, Rubino M, et al. Repair of tetralogy of Fallot in the first six months of life: transatrial versus transventricular approach. Ann Thorac Surg, 1995, 60 (6Suppl) :S588-591.

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