摘要
自１９８５年９月至１９９４年３月手术治疗３３例矫正型大动脉转位伴心脏畸形病人。其中男２１例，女１２例。年龄１～３５岁（平均１１岁）。其中ＳＬＬ型３１例，ＩＤＤ型２例。手术修复室间隔缺损２８例，肺动脉狭窄２９例（１４例应用心外带瓣管道，其中９例同种主动脉带瓣管道，５例为带戊二醛处理的猪肺动脉瓣的人工管道），修补房间隔缺损１５例，左侧房室瓣关闭不全成形２例，动脉导管未闭缝合和改良Ｆｏｎｔａｎ手术各１例。手术死亡５例。晚期死亡１例。生存２７例，经２个月至９年随访，效果满意。
Between September 1985 and April 1994,33 patients aged 1 to 35 years(mean 11 years) and surgical repair of lesions associated with corrected transposition.They included 21 males and 12 females.SLL type was present in 31 patients and IDD type in 2.Repair of ventricular septal defects were performed in 28 and atrial septal defects in 15,valvuloplasty for left atrioventricular valve regurgitation in 2 andpatent ductus arteriosus closure and modified Fontan procedure one each.In out of 29 patients,14 with pulmonary stenosis,extracardiac valved homograft conduit was implanted because of inadequate relief of their stenotic anomalies.There were five perioperative deaths,2 resulting from postoperative arrythmia and 2 from complete heart block which was combined with pulmonary hypertension in one and hypoxemia and severe acidosis in the other.The fifth was due to the incomplete repair of ventricle septal defect.One Iate death was attributed to III°A-V block and tear of the left atrioventricular valve after valouloplasty.Follow-up of 27 patients for 2 months to 9 years showed satisfactory results.How to prevent postoperative heart block and achieve complete repair of VSD and left atrioventricular valve regurgitation,and obtain adequate relief of the obstruction of right ventricular outflow tract were discussed.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第4期196-197,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
大动脉转位
室间隔缺损
肺动脉狭窄
外科手术
Corrected transposition of great vessle
Ventricular septal defect
Pulmonary stenosis
Left atrioventricular valve regurgitation
