摘要
目的 :总结完全性肺静脉异位引流 (TAPVC)的诊断和外科治疗经验。方法 :全组均在中度低温外循环下将完全异位引流的肺静脉直接或通过房间隔缺损隔进入左心房 ,同时矫正合并心内畸形。结果 :超声心动图检查 (UCG)误诊 3例 ,其中心上型 2例 ,心内型 1例。均经术中探查确诊为TAPVC。手术死亡 1例 ,5例痊愈出院 ,术后随访 ,心功能良好。结论 :术前明确TAPVC的诊断对指导手术非常重要。UCG不能明确诊断 ,应行心导管及心血管造影检查 ,或经术中探查方可确诊。本病确诊后应尽早手术治疗 ,而手术成功的关键在于吻合口足够大、通畅。
Objective:To summarize the experiences of diagnosis and surgical treatment of total anomalous pulmonary venous connections(TAPVC).Methods:Between May 1990 and October 2001,six patients with TAPVC underwent surgical corrections under moderate hypothermic cardiopulmonary bypass.Three patients had supracardiac connections:two intracardiac connections and one mixed connection.There were 2 males and 4 females; their ages ranged from four to thirteen years.Results:Three patients(supracardiac type in two and cardiac in one) were misdiagnosed by echocardiography and diagnosed by surgical exploration.There was one of operation death.Five patients survived after the operation,and their cardiac functions during the follow up were improved.Conclusion:The diagnosis of TAPVC before surgery is very important to the success of the operation.If echocardiography did not diagnose,cardiac catherization and even surgical exploration sometimes were needed to confirm the diagnosis.Surgery should proceed without delay as long as the diagnosis is made.The crux of the success was sufficiently big and patency of anastomosis.
出处
《江西医学院学报》
CAS
2002年第4期44-45,55,共3页
Acta Academiae Medicinae Jiangxi
关键词
完全性肺静脉异位引流
诊断
外科手术
治疗
病例报告
total anomalous pulmonary venous connection/surgery
heart defects, congenital
case report
