摘要
影响先天性心脏病室间隔缺损（简称ＶＳＤ）手术效果的主要因素是肺动脉高压（简称ＰＨ）。我院自１９８７年５月～１９９３年５月手术治疗ＶＳＤ３０７例，病死率２．９％，其中合并重度ＰＨ（Ｐ＿ｐ／Ｐ＿ｓ≥８０％）２４例，病死率２０．８％。本文通过对心导管材料、心脏杂音、胸片、心电图等的材料分析，对照手术结果，结合文献，对ＶＳＤ合并重度ＰＨ的手术适应证和围术期的处理加以讨论。
ntil
now the most important factor affecting the surgical treatment of
ventricular septal defect(VSD)is pulmonary hypertention. Three
hundred and seven cases of VSD were treated surgically fromMay 1987
to May 1993 with mortality of 2.9%,among which,24 cases were
complicated witk severepulmonary hypertension(P_p/P_p≥80%)and the
mortality were 20.8%. In this article,perioperativetherapy and
operative indication were discussed.Catheterization data,physical
examination,chest X-rayand electrocardiography findings were also
analysed with comparison to operative outcome and presentliterature.
出处
《中国医科大学学报》
CAS
CSCD
1995年第5期488-489,492,共3页
Journal of China Medical University
关键词
室间隔缺损
肺动脉高压
治疗
ventricular septal defect
pulmonary hypertention
vessel
dilator
