摘要
目的 总结单心室的外科治疗经验。方法 回顾性分析单心室 2 6例 ,其中 17例行全腔静脉与肺动脉连接术 ,8例行双向格林分流术 ,1例行肺动脉环缩术。结果 术后早期死亡 4例 ,死亡率 15 4%。术后随访 6～ 3 0个月 ,平均 11个月 ,无晚期死亡。结论 严格掌握手术指征 ,妥善矫治心脏畸形和良好的围术期处理是提高单心室外科治疗效果的关键。
Objectives To review the experience of surgical treatment of univentricule.Methods 26 patients with univentricule underwent surgical treatment were retrospectively analyzed. There were 17 cases of total cavopulmonary connection, 8 cases of bi-directional Glenn shunt and one case of pulmonary artery banding.Results Followed-up for 6～30 monthes(mean 11 months) showed 4 early postoperative death,there was mortality of 15 4%,no advanced death.Conclusions The result of this study suggests that surgical outcome is related to the selection of proper surgical indicators,perioperative management and complete correction of cardiac deformity.
出处
《中国医师杂志》
CAS
2003年第2期184-186,共3页
Journal of Chinese Physician
