小儿双腔右心室的外科治疗（附10例报告）

Surgical Treatment of Double-Chamber Right Ventricle in Children

本文报告了１９９２年收治的１０例双腔右心室病人，男性９例，女性１例。年龄３～１２岁，平均７岁，均合并有其它心内畸形，包括房缺、室缺、肺动脉瓣狭窄等。术前明确诊断双腔右心室者８例，２例误诊为法鲁四联症及单纯室间隔缺损。１０例病人全部经右心室切口切除异常肌束，疏通右室流出道，４例用牛心包补片扩大流出道。术后９例恢复良好，１例死于脑部并发症。作者在文章中描述了双腔右心室的病理解剖学特征，强调术前诊断和术中识别本病的重要性。同时，就手术时机、手术方法及术中应注意的重要问题进行了讨论。

it have been reported that 10 cases of double-chamber right ventricle(DCRV) were treated surgically in 1992.9 cases were males and 1 was female,aged 3～12 years old.All cases combined with other cardiovascular anormalies,such as ASD,VSD and PS etc.8 cases of this group were accurately diagnosed,the other 2 were misdiagnosed as TOF and VSD before operation.All the 10 patients were given excision of abnormal muscular bandds through vertical right ventriculotomy.The bovine pericardium patches were used to enlarge right ventricle outflow tract in 4 cases.9 cases were recovered perfectly,1 case died from cerebral complication.The reporter described the pathological anatomy characteristics of DCRV in the article and emphasized the importance of diagnosing and recognizing DCRV before and during operation. Additionally,operative indications,surgical approaches and some other surgical problems were discussed.