CAJ | 학술논문

目的总结成人法洛四联症的外科治疗及疗效.方法成人法洛四联症外科治疗78例,所有病例均经右房或右室流出道切口完成疏通和室间隔缺损修补,室间隔缺损均用涤纶补片修补,单纯补片加宽流出道63例,跨瓣环补片15例.结果死亡5例,病死率6.4%;死亡原因:低心排皿量综合征4例,心律失常1例;室间隔缺损残余漏3例(3～5 mm);Ⅲ度房室传导阻滞2例.结论成人法洛四联症根治术合理设计,彻底矫正畸形,加强心肌保护及术后管理可取得满意的远期临床效果.
목적 총결성인법락사련증적외과치료급료효.방법 성인법락사련증외과치료78례,소유병례균경우방혹우실류출도절구완성소통화실간격결손수보,실간격결손균용조륜보편수보,단순보편가관류출도63례,과판배보편15례.결과 사망5례,병사솔6.4%;사망원인:저심배명량종합정4례,심률실상1례;실간격결손잔여루3례(3～5 mm);Ⅲ도방실전도조체2례.결론 성인법락사련증근치술합리설계,철저교정기형,가강심기보호급술후관리가취득만의적원기림상효과.
Objective To summarize the experience of surgical treatment for adults with tetralogy of fallot. Methods 78 adult atients with Fallot's tetrad underwent surgical treatment. Longitudinal or oblique right atrial or right ventriculotomy were used to ensure com-plete release right ventricular outflow obstruction and complete ventricular septal defect closure. The ventricular septal defects were closed with Dacron patch. Simply right ventricular outflow tract patches in 63 cases, transannular pateheswere used in 15 patients. Results Five patients died during perioperative periody with the mortality rate of 6.4%, four patients died of low cardiac output syndrome and one of ar-rhythmia;Three patients had residual septal defect (3～5mm) ; Two patients had complete atrial ventricular block and then recovered after one week. Conclusion By careful surgical management, complete deformity correction, satisfactory myocardial protection and postoperative management, the treatment of total correction in adult patients may result in satisfactory long - term clinical effect.