摘要
自1985年3月至1990年8月,手术治疗单纯先天性室间隔缺损合并重度肺动脉高压16例。所有病例的肺动脉收缩压≥12kPa(90mmHg),主肺动脉与体动脉收缩压比值(P_p/P_(?))≥1.00。手术死亡率6.25%。本文就术前状况和手术危险性提出了一种综合评估法。认力右下肺动脉直径同胸廓横径比率(RIPA/T)、肺、体循环阻力比(R_p/R_s)、肺、体循环血量比(Q_p/Q_s)、肺动脉平均压(mPAP)和血氧饱合度(SaO_2)是估计手术危险性的主要参数。同时简单介绍了一种新的室间隔缺损修补术。
From March 1985 to August 1990, 16 patients with isolated congenital ventricular septal defect (VSD) and severe pulmonary hypertension underwent operation at this hospital. Pulmonary systolic pressures were≥12 kPa (90 mmHg) and Pp/Ps≥1.0 in all cases. The operative mortality was 6.25%. A method for comprehensive appraisal of patient's preoperative status and operative risk was put forward. Sa02, mPAP and the ratios of RIPA/T, Rp/Rs, end Qp/Qs were considered as important parameters in estimating the operative risk in advance.A new technique of operative repair of VSD was briefly expounded.
出处
《中国循环杂志》
CSCD
1992年第5期435-437,共3页
Chinese Circulation Journal
关键词
室间隔缺损
肺性高血压
外科手术
Congenital heart disease
Ventricular septal defect
Pulmonary hypertension
Surgical treatment
