CAJ | 학술논문

目的：分析影响婴幼儿法乐四联症（TOF）一期根治治疗的危险因素，探讨法乐四联症一期根治的围术期处理方法。方法收集该院2003年1月至2012年11月期间行T O F根治术的195例患儿（分死亡组和存活组）的住院资料，进行统计学分析。结果单因素方差分析显示，年龄、McGoon比值（左、右肺动脉直径之和与膈平面降主动脉直径的比值）、体外循环时间及主动脉阻断时间在TOF患儿术后死亡与存活间差异具有统计学意义。多因素Logistic逐步回归分析：McGoon比值小于1．0，体外循环时间大于90 min ，主动脉阻断时间大于70 min ，年龄小于3个月，与TOF根治手术患儿发生术后死亡相关。结论婴幼儿期行TOF一期根治是安全可靠的，McGoon比值、体外循环时间及主动脉阻断时间、年龄是 TOF一期根治治术后早期死亡的危险因素。
목적：분석영향영유인법악사련증（TOF）일기근치치료적위험인소，탐토법악사련증일기근치적위술기처리방법。방법수집해원2003년1월지2012년11월기간행T O F근치술적195례환인（분사망조화존활조）적주원자료，진행통계학분석。결과단인소방차분석현시，년령、McGoon비치（좌、우폐동맥직경지화여격평면강주동맥직경적비치）、체외순배시간급주동맥조단시간재TOF환인술후사망여존활간차이구유통계학의의。다인소Logistic축보회귀분석：McGoon비치소우1．0，체외순배시간대우90 min ，주동맥조단시간대우70 min ，년령소우3개월，여TOF근치수술환인발생술후사망상관。결론영유인기행TOF일기근치시안전가고적，McGoon비치、체외순배시간급주동맥조단시간、년령시 TOF일기근치치술후조기사망적위험인소。
Objective Analysis the influence risk factors of infants and young children tetralogy of Fallot for radical treatment , and explore the perioperative treatment methods .Methods 195 cases(include death group and survival group)of hospitalized data of TOF resection in this hospital were collected in January 2003 to November 2012 ,then statistical analysis was done .Results Uni-variate analysis of variance showed ,age ,weight ,McGoon ratio ,cardiopulmonary bypass time and aortic clamping time were statisti-cally significant in two groups ,Multivariate Logistic regression analysis showed McGoon ratio <1 .0 ,cardiopulmonary bypass time>90 min ,aortic clamping time>70 min ,age<3 months were related to the postoperative death of TOF radical operation .Conclu-sion It is safe and reliable of radical surgery in infants and young children ,McGoon ratio ,cardiopulmonary bypass time and aortic clamping time ,age are the risk factors of the postoperative death of TOF radical operation .