新生儿、婴幼儿期TOF姑息性治疗：体肺动脉分流术与右室流出道支架安置术
Palliative management of tetralogy of fallot in neonates and young infant：systemic to pulmonary artery shunt vs stenting of the right ventricular outflow tract
摘要
自从20世纪50年代Lillehei、Kirklin等外科治疗法洛氏四联症（TOF）成功至今近60余载.随着科学信息和科学技术迅猛发展,TOF在诊断、外科、麻醉、体外循环技术及围手术期监护水平和装备得以显著的改善和提高,婴幼儿TOF手术死亡率已明显下降,而且远期生存率也有改善.来源于STS （2002-2007年）多中心的先心病资料提示,出生后3～12个月TOF手术早期死亡率为0.8％～1.2％（图1）;上海儿童医学中心近10年1岁以内TOF根治术早期死亡率2.2％;英国报道TOF手术后10年生存率98.5％～99.0％;雅典近期报道14年生存率为98.8％;多伦多临床资料示TOF手术后20年、40年生存率分别为94％和90％.
出处
《中国心血管病研究》
CAS
2013年第12期929-931,共3页
Chinese Journal of Cardiovascular Research
关键词
法洛氏四联症
体肺动脉分流术
右室流出道
支架
手术
Tetralogy of fallot
Systemic-to-pulmonary artery shunt
Right ventricular outflow tract
Stent
Surgery
参考文献16
-
1Carlson KM,Neish SR,Justino H,et al.Use of cutting balloon for palliative treatment in tetralogy of Fallot.Catheter Cardiovasc Interv,2005,64:507-512.
-
2Gerelli S,Steenberghe MV,Murtuza B,et al.Neonatal right ventricle to pulmonary connection as a palliative procedure for pulmonary atresia with ventricular septal defect or severe tetralogy of Fallot.Eur J Cardiothorac Surg,2013 Sep 18.[Epub ahead of print].
-
3Watanabe K,Daitoku K,Suzuli Y,et al.Palliative right ventricular outflow reconstruction in tetralogy of Fallot with pulmonary atresia and aberrant right subclavian artery;report of a case.Kyobu Geka,2008,61:403-406.
-
4Dryzek P,Mazurek-Kula A,Moszura T,et al.Right ventricle outflow tract stenting as a method of palliative treatment of severe tetralogy of Fallot.Cardiol J,200,15:376-379.
-
5Sahara M,Takahashi T,Morita T,et al.Three-vessel coronary artery disease complicated with congestive heart failure in a highly aged patient with tetralogy of Fallot having undergone palliative surgeries.Intern Med,2006,45:1147-1151.
-
6McMullan DM,Permut LC,Jones TK,et al.Modified Blalock-Taussig shunt versus ductal stenting for palliation of cardiac lesions with inadequate pulmonary blood flow.J Thorac Cardiovasc Surg,2013 Sep 23.pii:S0022-5223(13)00885-4.
-
7Guzzetta NA,Foster GS,Mruthinti N,et al.In-hospital shunt occlusion in infants undergoing a modified blalock-taussig shunt.Ann Thorac Surg,2013,96:176-182.
-
8Dirks V,Pretre R,Knirsch W,et al.Modified Blalock Taussig shunt:a not-so-simple palliative procedure.Eur J Cardiothorac Surg,2013,44:1096-1102.
-
9McKenzie ED,Khan MS,Samayoa AX,et al.The Blalock-Taussig shunt revisited:a contemporary experience.J Am Coll Surg,2013,216:699-706.
-
10Liu J,Sun Q,Qian Y,et al.Numerical simulation and hemodynamic analysis of the modified Blalock-Taussig shunt.Conf Proc IEEE Eng Med Biol Soc,2013:707-710.
-
1孙宏涛,沈向东,刘迎龙,阎军,李守军.6个月以下婴儿法洛四联症的外科治疗[J].中国胸心血管外科临床杂志,2009,16(5):336-338. 被引量：15
-
2宋军伟,刘云金.280例经尿道前列腺电切术麻醉体会[J].中华临床医药杂志（北京）,2004,5(12):96-96.
-
3张涛.46例腹部闭合性损伤诊治体会[J].医学信息,2013(3):288-289.
-
4杨爱玲,程玲娟.中重度颅脑损伤36例围手术期监护[J].实用医技杂志,1998,5(6):409-409.
-
5吴寿洪,林海琳.闭合性腹部损伤136例临床治疗分析[J].中国社区医师（医学专业）,2010,12(17):42-43. 被引量：3
-
6甘树杰,丁国善.原位肝移植术后胆道并发症[J].肝胆胰外科杂志,2005,17(4):340-342. 被引量：5
-
7朱海燕.胸腹联合伤的围手术期监护[J].医学文选,2004,23(2):241-242.
-
8吴永涛,李磊,范祥明,朱耀斌,陈哲,李志强,苏俊武,程沛,刘迎龙.主动脉与人工血管侧侧吻合技术在体肺动脉分流术中的应用[J].中华胸心血管外科杂志,2013,29(3):140-142. 被引量：4
-
9刘秀伦,张大国,张文斌,潘渝,周涛.52例法洛四联症行外科一期根治疗效报告[J].贵州医药,2009,33(4):318-320.
-
10许雪霞,邱玲玲,王天锡.急性心肌梗死行冠状动脉介入治疗的护理[J].现代医药卫生,2007,23(19):2949-2950.
