摘要
目的 探讨婴幼儿期施行法洛四联症根治术的结果和经验。方法 对 1994年 1月至2 0 0 1年 12月连续施行 15 6例 3周岁以下法洛四联症根治术进行总结。年龄 2～ 35个月 ,体重 3.5～15 .0kg。在中度低温体外循环下手术。除 6例外 ,均采用自体心包补片修补室间隔缺损。采用自体心包补片扩大右心室流出道。结果 手术死亡 16例 ,手术死亡率为 10 .3% ,显著高于同期 4 77例 3～ 14岁小儿法洛四联症根治术的手术死亡率 (1.89% )。手术死亡原因和术后并发症主要为低心排综合征和心律失常。结论 婴幼儿期法洛四联症根治术的手术死亡率仍较高 ,应进一步改进手术技术 ,加强围术期监护处理 ,以提高手术成功率。
Objective To review the experiences of radical correction of Tetralogy of Fallot (TOF)in infants. Methods Between Jan. 1994 and Dec. 2001, 156 children underwent one stage correction of TOF. The age ranged from 2 to 35 months and weight ranged from 3.5 to 15.0 ?kg. The operations were carried out under medium hypothermic extracorporeal circulation. With exception of 6 cases, auto pericardium patch repair of ventricular septal defect was performed. Right ventricle outlet was also enlarged with pericardium.Results There were 16 operative deaths ( 10.25% ), which were significantly higher than 477 cases of children operated on the age from 3 to 14 years ( 1.89% ). The main cause of death was low cardiac output syndrome and arrhythmia.Conclusion The mortality rate of surgical treatment of TOF in infants is still keeping high, a further improvement in operative techniques and perioperative care should be enhanced.
出处
《中华小儿外科杂志》
CSCD
北大核心
2003年第3期221-223,共3页
Chinese Journal of Pediatric Surgery
