全腔静脉肺动脉连接术治疗复杂先天性心脏病  

Total cavopulmonary connection on complexcongenital heart diseases

作　　者：李红昕[1] 范全心[1] 郭兰敏[1] 王安彪[1] 杜亮[1] 訾捷[1] 

机构地区：[1]山东省立医院,山东济南250021

出　　处：《山东医药》2005年第33期1-2,共2页Shandong Medical Journal

摘　　要：目的总结全腔静脉肺动脉连接术(TCPC)的经验和体会。方法6例复杂先天性心脏病患者均在全麻低温体外循环下手术。上腔静脉与右肺动脉吻合完毕后,2例采用右心房内隧道法、4例采用心房外管道完成TCPC手术(合并左位上腔静脉的2例同时行左侧G lenn手术)。结果1例三尖瓣闭锁患者术后2d死亡,5例治愈者血氧饱和度由术前的0.75±0.03提高至术后的0.93±0.02,生活质量改善。结论TCPC矫治复杂先心病,能明显改善患者的缺氧症状;术中肺动脉直接测压是能否行TCPC的重要依据。Objective ： To evaluate the results of total cavopulmonary connection （TCPC） in the treatment of complex congenital heart diseases. Methods： 6 patients with complex congenital heart diseases underwent TCPC. 2 patients were treated by the lateral tunnel technique, 4 patients were completed with the extracardiac conduit. Results： 1 patient died due to low output syndrome after operation. 5 patients who survived the operation and improved life. Conclusions .. Tcpc prodace good results in the treatment of complex congenital heart diseases.

关 键 词：全腔静脉肺动脉连接术 先天性心脏病 

分 类 号：R541.1[医药卫生—心血管疾病] R654.2[医药卫生—内科学]