蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
10期
1373-1375
,共3页
法洛四联症%婴幼儿%根治手术
法洛四聯癥%嬰幼兒%根治手術
법락사련증%영유인%근치수술
tetralogy of Fallot%infant%radical operation
目的：总结婴幼儿法洛四联征根治术的治疗经验，提高手术技巧，降低死亡率。方法：对行法洛四联征根治术的77例患儿临床资料进行回顾分析。手术方法采用正中切口，中低温/深低温低流量，单纯右心室流出道补片15例，跨肺动脉瓣环补片62例。结果：手术死亡1例，主要死亡原因是低心排综合征。其他并发症有呼吸机相关性肺炎、心律失常、心包填塞、胸腔积液等，通过治疗痊愈。随访3~24个月，无一例死亡。结论：法洛四联征在婴幼儿期行根治术，手术效果满意。早期彻底矫治心脏畸形，加强术后管理，可以有效降低患儿死亡率。
目的：總結嬰幼兒法洛四聯徵根治術的治療經驗，提高手術技巧，降低死亡率。方法：對行法洛四聯徵根治術的77例患兒臨床資料進行迴顧分析。手術方法採用正中切口，中低溫/深低溫低流量，單純右心室流齣道補片15例，跨肺動脈瓣環補片62例。結果：手術死亡1例，主要死亡原因是低心排綜閤徵。其他併髮癥有呼吸機相關性肺炎、心律失常、心包填塞、胸腔積液等，通過治療痊愈。隨訪3~24箇月，無一例死亡。結論：法洛四聯徵在嬰幼兒期行根治術，手術效果滿意。早期徹底矯治心髒畸形，加彊術後管理，可以有效降低患兒死亡率。
목적：총결영유인법락사련정근치술적치료경험，제고수술기교，강저사망솔。방법：대행법락사련정근치술적77례환인림상자료진행회고분석。수술방법채용정중절구，중저온/심저온저류량，단순우심실류출도보편15례，과폐동맥판배보편62례。결과：수술사망1례，주요사망원인시저심배종합정。기타병발증유호흡궤상관성폐염、심률실상、심포전새、흉강적액등，통과치료전유。수방3~24개월，무일례사망。결론：법락사련정재영유인기행근치술，수술효과만의。조기철저교치심장기형，가강술후관리，가이유효강저환인사망솔。
Objective:To summarize the experience of tetralogy of Fallot radical operation in infants,improve surgical technique and reduce mortality. Methods:The clinical data of 77 cases treated with tetralogy of Fallot radical operation were retrospectively analyzed. Pure right ventricular outflow tract patch in 15 cases and pulmonary valve ring patch in 62 cases were implentmented through median incision under the condition of middle and low temperature/profound hypothermia low flow. Results:One case died after the operation, which was mainly caused by low cardiac output syndrome, other cases with ventilator-associated pneumonia, arrhythmia, cardiac tamponade and pleural effusions were cured. None died during the period of following-up for 3 to 24 months. Conclusions:The effects of radical operation in the treatment of tetralogy of Fallot in infants are good. Early correcting cardiac malformation and strengthening postoperative management can effectively reduce the mortality rate of infants.
