摘要
目的探讨小儿法洛四联症根治术的特点,以提高手术疗效。方法对1998-02—2005-07在河南省郑州市第七人民医院接受法洛四联症根治术的106例患儿的临床资料进行回顾性分析。结果治愈103例,死亡3例,病死率为2.9%。术后随访率100%,随访3～93个月,无晚期死亡。全部病例心功能皆恢复至Ⅰ或Ⅱ级(NYHA)。结论绝大部分法洛四联症患儿可施行一期根治术,提高手术成功率的关键在于合理的体外循环灌注、严密修补室间隔缺损和恰当疏通右室流出道。
Objective To study characteristics of the total correction of tetralogy of Fallot （ TOF ） in children and to improve the treatment effect of total correction operation. Methods To analyze retrospectively the clinical data of 106 patients who received TOF Radical Cure in 7th Hospital Of Zhengzhou, Henan, from February 1998 to July 2005. Results Totally 103 cases were cured by operation,3 cases were deaths, the mortality being 2.9%. The rate of follow-up was 100%. Time of followed-up was 3 to 93 months. There was no late death. Heart function was improved to NYHA class Ⅰ-Ⅱ in all cases. Conclusion Most children with tetralogy of Fallot can undergo the total one-stage correction. The key points of improving success rate are reasonable perfusion of cardiopulmonary by-pass, satisfactory repair of ventricular septal defect（ VSD） and fine deoppilation of right ventrical outlet （ RVOT）.
出处
《中国实用儿科杂志》
CSCD
北大核心
2007年第10期756-757,共2页
Chinese Journal of Practical Pediatrics
关键词
法洛四联症
根治术
儿童
Tetralogy of Fallot
Total correction
Childen
