摘要
目的:评价一个半心室矫治术的临床应用价值.方法:1993年7月～2000年8月,10例复杂先天性心脏病患者接受了一个半心室矫治术.男性6例,女性4例.年龄4.9±4.4(1.2～16.0)岁,体表面积0.65±0.32(0.42～1.48)m2,术前经皮血氧饱和度0.78士0.10(0.55～0.90).该组患者三尖瓣环Z值-5.11士2.17(-0.5～-6.8),肺动脉Nakata指数为194.4士60.4 mm2/m2.所有患者均在低温体外循环下完成手术.结果:无手术死亡,1例患者出现乳糜胸.所有患者发绀明显减轻,顺利出院.出院时经皮血氧饱和度0.95士0.05(0.84～0.99),较术前明显提高.结论:一个半心室矫治术为部分右心室功能不全的复杂先天性心脏病患者提供了新的治疗方法,术后早期效果良好.这种手术还可以作为双心室矫治术不成功时的应急手段,减低手术风险.
Objective:To evaluate the clinical application of one and a half ventricle repair. Methods:Between July 1993 and August 2000, one and a half ventricle repair was performed in 10 patients (6 males,4 females),with mean age of 4.9±4. 4 (1. 2-16. 0)years and body surface area of 0．65±0.32(0. 42-l. 48)m2. The percutaneous blood oxygen saturation before operation was 0. 78±0. 10(0. 55-0. 99.). The tricuspid Z value was - 5. 11 ±2. 17 (- 0. 5-- 6. 8). Nakata index was 194. 4±60. 4 mm2/m2. The operations were performed by hypothermic cardiopulmonary bypass. Results :One patient developed chylothorax. The giber patients were smoothly recovered. Cyanosis was significantly reduced in all patients. The average oxygen saturation of arterial blood was 0. 95±0. 05(0. 84-0. 99)when the patients were discharged. Conclusion:One and a half ventricle repair can be performed in some patients with congenital heart anomaly and right ventricular dysfunction,but long-term follow-up is needed. This procedure can be also used as a salvage measure when bi-ventricle repair is in failure.
出处
《中国循环杂志》
CSCD
北大核心
2001年第2期129-131,共3页
Chinese Circulation Journal
关键词
心室矫治术
右心室功能不全
治疗
Ventricle repair
Right ventriclular dysfunction
Clinical treatment
