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目的：总结主动脉缩窄围手术期情况。方法：整理了１９８８年至１９９６年收治的主动脉缩窄患儿４０例，其中合并动脉导管未闭（ＰＤＡ）２６例，心室间隔缺损（ＶＳＤ）１４例，心房间隔缺损（ＡＳＤ）２例。手术方法包括：Ｇｏｒｅ－ｔｅｘ补片扩大２４例，左锁骨下动脉瓣作主动脉成形术１０例，人造血管移植，缩窄端切除端端吻合，狭窄部锲形切除直接缝合各２例。结果：死亡１例，术后高血压３５例，乳糜胸１例，喉返神经麻痹２例，肾功能不全１０例，未发现下肢活动障碍。结论：术前充分估计侧支循环情况，术中选择合适的手术方法，对术后并发症的防治至关重要。
Objective: To summarize the perioperative situation of aortic stenosis. Methods: Forty children with aortic constriction were enrolled from 1988 to 1996, including 26 cases with patent ductus arteriosus (PDA), 14 cases with ventricular septal defect (VSD) and 2 cases with atrial septal defect (ASD). Surgical methods included: Gore-tex patch expansion in 24 cases, left subclavian artery for aortic angioplasty in 10 cases, artificial vascular graft, narrowing end resection end anastomosis, stricture resection wedge 2 cases of direct suture. Results: 1 died, 35 cases of postoperative hypertension, 1 case of chylothorax, 2 cases of recurrent laryngeal nerve paralysis, 10 cases of renal insufficiency, and no lower extremity dysfunction. CONCLUSIONS: To fully estimate the situation of collateral circulation before operation and to select the suitable operation method in operation, it is very important to prevent and cure postoperative complications.