摘要
目的:对比重症法洛四联症中心分流术肺动脉直径和左心室容积的变化,评价中心分流术在法洛四联症手术治疗中的应用。方法:1995年1月至2003年12月对24例法洛四联症应用聚四氟乙烯或膨体聚四氟乙烯人工血管施行升主动脉到主肺动脉的中心分流手术,男性16例,女性8例,年龄7个月～19岁,平均(5.30±4.62)岁,体重6.5～45kg,平均(16.88±9.73)kg。结果:中心分流手术使左心室和肺动脉发育均明显改善,肺动脉增长了60.5%,左心室容积增大了57.4%。结论:中心分流术是改善重症法洛四联症病情的可选择的手术方式,是法洛四联症根治术的一种分期手术方式。
Objective： To assess the changes of diameter of pulmonary artery and left ventficular volume between preoperation and postoperation on aorto-pulmonary Shunts in the patients of Tetralogy of Fallot. Method： Between January 1995 and December 2003,24 patients of tetralogy of Fallot including 16 male and 8 female, aged from 7 months to 19 years （mean 5.30 ± 4.62） and weight from 6.5 kg to 45 kg （mean 16.88±9.73） ,were studied. Central aorto-pulmonary shunts were performed in 24 cases with teflon artificial blood vessels or Gore-Tex Vessels. Result： In two-stage radical operation the diameter of pulmonary artery increased 60.5% and LEDV1 increased 57.4% than in the first operation. Conclusion： Central aorto-pulmonary shunt was a feasible operation to improve patient＇s conditions.
出处
《心肺血管病杂志》
CAS
2006年第1期21-22,共2页
Journal of Cardiovascular and Pulmonary Diseases
