10Kg以下法乐氏四联症的急诊手术治疗

Emergency Operation for Tetralogy of Fallot of Patients With Less Than 10㎏

目的总结低体重法乐氏四联症急诊或亚急诊手术的治疗经验。方法15例体重小于10kg的法乐四联症患儿因合并有严重缺氧发作、感染性心内膜炎、心衰等,经积极的心内科治疗后转行急诊或亚急诊根治手术。结果死亡1例,病死率6.7%;存活14例,但术后有较多、较重的并发症,其中1例的术前脑缺氧损害后遗表现仍然明显。结论急诊或亚急诊根治术是救治合并有危急并发症低体重法乐氏四联症患儿的有效方法。

Objective To sum marize the experience of emergence or sub-emergence surgical therapy of Tetralogy of Fallot(TOF)with low birth weight infants.Methods 15infants less than10㎏,who had acute symptom of brain lacking oxygen or infectious endocarditis or heart failure and etc,received emergence or sub-emergence operation after internal medicine treatment.Result One cases death,14survival cases,mortality rate of the sick infants achieved6.7%.Of among those survival,one had sequela of brain hypoxemia lesion in preoperation,there were some serious complications,and at unfavourable situation.Conclusions The emergency or subemergency radical operation is effective for treatment of the infants with critical complication.[