重症法洛氏四联征行改良Blalock-Taussing分流术分析

Modified Blalock-Taussig Shunts in Treatment of Severe Tetralogy of Fallot

目的探讨改良Blalock-Taussig分流术治疗重症法洛四联症的手术适应证。方法本组12例重症法洛四联症患儿均实施改良Blalock-Taussig分流术,年龄1.2～8.9岁,平均(5.7±1.8)岁,体重7.5～18Kg,平均(13.8±3.7)Kg;术前患儿氧饱和度为(0.63±0.12)。结果 12例患儿均获生存,术后氧饱和度提升至(0.85±0.14),10例患儿于术后8～36月成功进行了二期根治术。结论改良Blalock-Taussig分流术是肺动脉发育不良的重症法洛四联症患儿的有效姑息治疗方法。

Objective To evaluate the operative indications of Modified Blaloek-Taussig shunts in the treatment of severe tetralogy of Fallot.Methods Blalock-Taussig shunts were Performed in 12 cases of severe tetralogy of Fallot,The Patients aged 1.2～8.9 Years-old with an average of（5.7±1.8） years,and weighted 7.5～18Kg with an average of（13.8±3.7）Kg.The oxygen Saturation（SaO2） were with an average of（0.63±0.12）.Results All the 12 patients Survived.The oxygen saturation raised to（0.85±0.14）.Ten of the paitents were sueeessfully performed the second staged radical operation in 8 or 36 months later.Conclusion Modified Blalock-Taussig were effective palliative operation in the treatment of severe tetralogy of Fallot with maldevelopment of pulmonary.