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小儿重症法洛四联症二期根治术 被引量:13

The staged radical operation in pediatric patients with severe tetralogy of Fallot
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摘要 目的 临床评价小儿重症法洛四联症二期根治术手术疗效。方法  1987年 3月至 1998年 2月 5 1例重症法洛四联症病儿 ,年龄 2 1~ 13 9岁 ,平均 (5 1± 1 9)岁 ;体重 11 1~ 2 8 0kg ,平均(14 2± 3 8)kg。姑息术与二期根治术时间间隔 3~ 2 2个月。结果  1例远端肺血管发育差者 ,术后心衰死亡。手术成功率 98% ,术后随访满意。 Objective: To assess the clinical value of the second staged radical operation in pediatric patients with severe tetralogy of Fallot. Method: 51 cases of severe tetralogy of Fallot underwent stage radical operation from March 1987 to Feburary 1998. The patients aged (2 1±13 9) year old, with an average of (5 1±1 9) years,and weighted 11 1~28 7 kg with an average (14 2± 3 8)kg. The interval between palliative operation an radical operation was 3 months to 1 8 years. Result: One case with hypoplasia of distant pulmonary vessels died from postoperative heart failure. The survival rate was 98%. Conclusion: The staged radical operation can improve the outcomes in pediatric severe tetralogy of Fallot.
出处 《中华胸心血管外科杂志》 CSCD 北大核心 2001年第1期7-8,共2页 Chinese Journal of Thoracic and Cardiovascular Surgery
关键词 法洛四联症 心脏外科手术 儿童 Tetralogy of Fallot Heart surgery
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参考文献4

  • 1Ilbawi MN,Idriss FS,Deleon SY,et al.Long-term results of porcine valve insertion for pulmonary regurgitation following repair of tetralogy of Fallot[].The Annals of Thoracic Surgery.1986
  • 2Clarke DR,Campbell DN,Pappas G,et al.Pulmonary allograft conduit repair of tetralogy of Fallot: an alternative to transannular patch repair[].Journal of Thoracic and Cardiovascular Surgery.1989
  • 3Gill CC,Moodie DS,Mcgoon DC,et al.Staged surgical management of pulmonary atresia with diminutive pulmonary arteries[].Journal of Thoracic and Cardiovascular Surgery.1977
  • 4Castaneda AR.Classical repair of tetralogy of Fallot: timing, technique and results[].Seminars in Thoracic and Cardiovascular Surgery.1990

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