小于6个月法洛四联症病儿的外科治疗

SURGERY OF TETRALOGY OF FALLOT IN INFANTS YOUNGER THAN SIX-MONTH-OLD

目的探讨小于6个月法洛四联症(TOF)病儿的最佳手术时机,以提高外科手术疗效,降低手术病死率。方法回顾性总结分析我科2004年5月—2009年9月收治的85例小于6个月TOF病儿的临床资料。所有病儿均行TOF根治术。结果手术死亡2例,病死率为2.35%,死于低心排血量综合征1例,肾衰竭1例。随访75例,随访时间(36.33±25.28)个月,失访8例。随访期间无远期死亡。结论对小于6个月TOF病儿早期行TOF根治术在技术上可行的,手术病死率并不高于同期较大年龄TOF病儿。

Objective To explore the optimal time for surgery of Tetralogy of Fallot（TOF） in infants younger than six-month-old,and improve the therapeutic effect and decrease the operative mortality. Methods Clinical data of 85 infants with TOF of younger than six-month-old,who underwent radical correction during May 2004 and September 2009,were analyzed retrospectively. Results Operative death two cases（2.35%）： one died of low cardiac output syndrome,and another one died ofacute renal failure.A follow-up of 36.33±25.28 months was conducted in 75 cases,no death was noted during follow-up period.Loss of follow-up was recorded in eight infants. Conclusion Surgery for younger-than-six-month-old infants with TOF is technically feasible,the mortality rate is not higher than that of the older TOF kids of the corresponding time period.