摘要
目的探讨改良Blalock-Taussig分流术在复杂紫绀型先天性心脏病中的应用,评价其手术效果。方法回顾性分析2006年2～12月15例行改良Blalock-Taussig分流术的临床病例,其中男性9例,女性6例,年龄3个月至6岁,体重5.0～19.0kg。结果15例患儿均获生存,改良Blalock-Taussig分流术后患儿动脉血氧饱和度由术前的(58.7±14.1)%上升到(87.5±5.4)%,有明显改善(P<0.01)。随访3～6个月,发绀明显减轻,活动耐量增加。结论改良Blalock-Taussig分流术风险较小,对于暂时不具备根治术条件的复杂先天性心脏病的患儿,可起到挽救生命,改善缺氧,促进肺动脉发育的目的,为二期手术或根治手术创造条件。
Objective To discuss the usage of modified Blalock-Taussig Shunt in the treatment of complex congenital heart disease and evaluate the outcome of this palliative operation. Methods Analysis of 15 patients who were undertaken modified Blalock-Taussig Shunt from February 2006 to December 2006 retrospectively. There were 9 boys and 6 girls. Age ranged from 3 months to 6 years. Weight ranged from 5 to 19 kg. Results The oxygen saturation of the peripheral arterial blood significantly increased from （58.7±14.1）% in pre-operation to （87.5±5.4）% in pest-operation （P〈0.01）. There was no postoperative death. Clinical and echocardiographic studies showed that all shunts were patent and functioning well at follow up of 3 months to 6 months. Conclusion Modified Blalock-Taussig Shunt can promote development of the pulmonary arteries and improve cyanosis significantly. It is a safe palliative procedure to the patients who suffer from complex congenital heart disease and can save their lives.
出处
《中国心血管病研究》
CAS
2007年第7期505-507,共3页
Chinese Journal of Cardiovascular Research
关键词
心转流术
左
心脏病/先天性
心脏外科手术
Heart bypass, Left
Heart disease/congenital
Cardiac surgical procedures
