摘要
目的 :总结法乐氏四联症外科治疗经验。方法 :共 34例 ,年龄 2～ 1 6岁 ,32例在中低温体外循环、胸部正中切口行法乐氏四联症根治术 ,1例在非体外循环下行改良B -T分流术 ,1例行根治术同时行双向Glenn分流术。结果 :术后早期死亡 1例 ,死亡原因为低心排综合征 ,无远期死亡。结论 :本症应争取早日行根治术 ,肺动脉发育差者应行改良B -T分流术 ,右室发育不良者在行根治术同时行双向Glenn分流术 ,死亡原因以低心排综合征多见 ,应采取合适的手术方式及围术期多种方法预防。
Objective: To report the experience of surgical intervention for tetralogy of fallot(TOF). Method: A total of 34 patients with TOF,age 2～16 years,32 patients received the complete repair through mediam sternotomy under Moderate-hypothermic cardiopulmonary bypass.1 patient received modified Blalock-Taussing shunt without cardiopulmonary bypass,1 TOF patient with right ventricle severe hypoplasia received bidirectional Glenn shunt and complete repair.Results:One patient died of low cardiac output syndrome(LOS)in early postoperative period,noneof them died in later period.Conclusion:The complete repair of TOF should be performed as early as possible, TOF with pulmonary arterial hypoplasia should received modified Blalock-Taussing shunt,TOF with right ventricle severe hypoplasia should received bi-directional Glenn shunt and complete repair.The main cause of death is low cardiac output syndrome,it should be prevent by appropriate cardiac surgical procedures and other multiple therapies in perioperative period.
出处
《河北医学》
CAS
2004年第3期239-242,共4页
Hebei Medicine
关键词
法乐氏四联症
心脏外科手术
低心排综合征
Tetralogy of fallot
Cardiac surgical procedures
Low cardiac output syndrome
