论文部分内容阅读
自1988年以来共收治小儿法乐四联症85例,其中男54例,女31例,年龄2岁2个月至14岁,其中3岁以下者12例(14.1%)。右心导管及右心室造影检查:右室压力10.67~16.00kPa(80~120mmHg),主动脉骑跨25%~75%。手术采用深低温停循环15例,其余均在中低温(25~26℃)体外循环下施行心内根治术。平均机器转流时间为85分钟,主动脉阻断55分34秒。手术要点:右室流出道狭窄疏通;室间隔缺损修补;体外循环灌流技术及术后监护。本组术后早期死亡8例,死亡率为9.4%,随访0.5~4年。
Since 1988, 85 cases of tetralogy of Fallot have been treated in children, including 54 males and 31 females, ranging in age from 2 months to 14 years, of whom 12 (14.1%) were under 3 years of age. Right heart catheterization and right ventricular angiography: right ventricular pressure 10.67 ~ 16.00kPa (80 ~ 120mmHg), aortic cross-ride 25% to 75%. 15 cases were treated with deep hypothermic circulatory arrest, and the rest were treated with cardiomyoplasty under cardiopulmonary bypass with moderate to hypothermia (25 ~ 26 ℃). Mean machine commutation time was 85 minutes, aortic occlusion 55 minutes 34 seconds. The main points of surgery: right ventricular outflow tract stricture; ventricular septal defect repair; cardiopulmonary bypass perfusion technique and postoperative care. This group of early postoperative death in 8 cases, the mortality rate was 9.4%, followed up 0.5 to 4 years.