摘要
目的总结我院近10年完成的21例成人法洛氏四联症根治术的临床经验。方法 2002-01~2011-12间,我院共完成成人法洛氏四联症根治术21例,男12例,女9例。年龄17~35岁,平均(21.7±3.4)岁。心功能NYHA I级0例、Ⅱ级4例、Ⅲ级14例、IV级3例。所有患者采用全麻和体外循环。正中切口,中-深度低温,采用冷血停跳液经主动脉根部灌注,通过卵圆窝置左心引流。所有患者均经右房切口+右室流出道纵行切口(其中13例切口需跨主动脉瓣环并延至左右肺动脉分叉处),切除漏斗部的肥厚壁束和隔束,对于大量增生的纤维内膜予以小心部分切除。结果术后早期死亡2例,1例死亡原因为低心排出量综合征;另1例因为左肺动脉撕裂大出血死亡。乳糜胸1例。术后出院的19例病人,均定期6个月左右随访1次,心功能I级13例(68%),心功能Ⅱ级5例(26.3%),心功能Ⅲl例(5.7%)。结论成人法洛氏四联进行TOF根术同样可取满意临床结果。
Objective To summarize the experience of treatment on adult TOF within 10 years. Methods There were 21 cases of such patient were operated from January 2002 to December 201 land among them there were male in 12 cases, female in 9 cases with average age of 21.7±3.4 ( 17 -35). The HF in NYHA III of 4 cases, 111 of 14 cases, IV of 3 case. All operation was perform under GA, EC, MI, hypothermia and regular procedure. Re- stilts 2 dead in early stage, 1 dead of LCO, 1 dead of laceration of pulmonary artery. Other 19 cases were fol- lowed up every half year. Their HF were I in 13 cases, II in 5 cases and III in I case. ConclusionThe satisfied re- sult might be obtained from TOF radical correction for adult patients.
出处
《黑龙江医学》
2012年第3期189-191,共3页
Heilongjiang Medical Journal
关键词
成人
法洛氏四联症
手术
Adult
Tetralogy of fallot
Operation