中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
17期
14-16
,共3页
谢周良%顾以茼%葛振伟%杨志远%王佳祥%徐成阳%冯德广
謝週良%顧以茼%葛振偉%楊誌遠%王佳祥%徐成暘%馮德廣
사주량%고이동%갈진위%양지원%왕가상%서성양%풍덕엄
复杂性先天性心脏病%人工血管%全腔静脉肺动脉连接术%心内隧道%心外管道
複雜性先天性心髒病%人工血管%全腔靜脈肺動脈連接術%心內隧道%心外管道
복잡성선천성심장병%인공혈관%전강정맥폐동맥련접술%심내수도%심외관도
Complex congenital heart disease%Vascular prosthesis%Total cavopulmonary connection%Lateral tunnel%Extra-cardiac conduit
目的 总结全腔静脉肺动脉连接术治疗复杂先天性心脏病的经验,并对心内隧道和心外管道两种全腔静脉肺动脉连接术术式进行比较.方法 全组32例复杂先天性心脏病,12例行心内隧道全腔静脉肺动脉连接术,20例行心外管道全腔静脉肺动脉连接术.结果 全组患者死亡2例,发生低心排出量综合征8例,10例出现胸腔积液(均治愈),血流动力学满意,术后随访心功能Ⅰ~Ⅱ级,紫绀消失,无心律失常发生.结论 全腔静脉肺动脉连接术是治疗复杂先天性心脏病的一种有效方法,临床效果好,优于传统的Fontan手术;心外管道全腔静脉肺动脉连接术较心内隧道全腔静脉肺动脉连接术操作更简单.
目的 總結全腔靜脈肺動脈連接術治療複雜先天性心髒病的經驗,併對心內隧道和心外管道兩種全腔靜脈肺動脈連接術術式進行比較.方法 全組32例複雜先天性心髒病,12例行心內隧道全腔靜脈肺動脈連接術,20例行心外管道全腔靜脈肺動脈連接術.結果 全組患者死亡2例,髮生低心排齣量綜閤徵8例,10例齣現胸腔積液(均治愈),血流動力學滿意,術後隨訪心功能Ⅰ~Ⅱ級,紫紺消失,無心律失常髮生.結論 全腔靜脈肺動脈連接術是治療複雜先天性心髒病的一種有效方法,臨床效果好,優于傳統的Fontan手術;心外管道全腔靜脈肺動脈連接術較心內隧道全腔靜脈肺動脈連接術操作更簡單.
목적 총결전강정맥폐동맥련접술치료복잡선천성심장병적경험,병대심내수도화심외관도량충전강정맥폐동맥련접술술식진행비교.방법 전조32례복잡선천성심장병,12례행심내수도전강정맥폐동맥련접술,20례행심외관도전강정맥폐동맥련접술.결과 전조환자사망2례,발생저심배출량종합정8례,10례출현흉강적액(균치유),혈류동역학만의,술후수방심공능Ⅰ~Ⅱ급,자감소실,무심률실상발생.결론 전강정맥폐동맥련접술시치료복잡선천성심장병적일충유효방법,림상효과호,우우전통적Fontan수술;심외관도전강정맥폐동맥련접술교심내수도전강정맥폐동맥련접술조작경간단.
Objective To summary the experience of total cavopulmonary connection (TCPC) with different methods and study the operative indication, design and therapeutic efficacy. Methods Thirty-two cases of complex cyanotic congenital heart disease were reviewed: 12 cases underwent lateral tunnel and 20 cases extra-cardiac conduit TCPC.Results Two cases were died, and low heart output syndrome occurred in 8 cases, pleural effusion in 10 cases were cured at last. Cyanosis were abscised in all patients and no arrhythmogenesis occured and the heart function improved too. Conclusions The surgical procedures of TPCP is a modus operandi to treat the complex cyanotic congenital heart disease and outweigh the orthodox Fontan procedure. The operating performance of extra-cardiac conduit TCPC is reducing to the lateral tunnel.