儿童法乐四联症的治疗

TREATMENT OF TETRALOGY OF FALLOT IN CHILD

自１９９１年９月至１９９５年９月对４６例法乐四联症儿童施行根治术，年龄３～１４岁，手术死亡４例，病死率８．７％。讨论了经右房或右房右室相结合径路修补空缺，较小的右室流出道切口疏通右室流出道，尽量保护肺动脉瓣的完整性，体外循环技术的改进等综合措施是近几年降低手术死亡率的主要措施。

Forty-six cases,aged 3-14yeans, of total correction of tetralogy of Fallot were performed at zhengzhou children' s Hospital from sept. 1991 to sept, 1995.Four cases of them were dead,the operative mortality was 8.7%.The paper discusses the experience of decreased mortality:①closed ventricular septal defect with the incision in right atrium,or in right atrium and ventricle,②reconstruction of the right ventricular outflow tract by the minimal right ventriculotomy,③preventing the pulmonary valve from damaging,④Advanced the extracardial circulation skill and postoperative treatment et al.