肌部室间隔缺损类型与外科纠治方法探讨  被引量:13

Pathologic anatomy and surgical treatment of muscular ventricular septal defect

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作  者:陈会文[1] 刘锦纷[1] 张海波[1] 苏肇伉[1] 徐志伟[1] 丁文祥[1] 

机构地区:[1]上海交通大学医学院附属新华医院

出  处:《临床儿科杂志》2005年第12期845-847,共3页Journal of Clinical Pediatrics

摘  要:目的探讨肌部室间隔缺损的病理解剖类型和外科纠治方法的选择。方法对21例肌部室间隔缺损患儿的临床资料进行分析。结果流入道缺损5例,前部缺损4例,中部缺损7例,心尖部缺损5例。经右心房或右心室修补缺损。残余缺损5例,其中流入道缺损1例,中部缺损2例,心尖部缺损2例,直径均小于0.3 cm,未处理。并发室上速2例,右束支传导阻滞8例,Ⅲ度房室传导阻滞1例,右侧气胸1例,心包积液1例,低心排2例,死亡1例。结论明确肌部室间隔缺损的病理解剖,选择合适的纠治方案能明显减少残余缺损发生率。Objective To analyze the pathologic anatomy and surgical treatment of muscular ventricular septal defect (mVSD). Methods The files of twenty-one patients with muscular ventricular septal defect were reviewed (January,2002 to June, 2005). Results Among them,5 patients were inlet defect,4 were anterior defect, 7 were midmuscular defects,and 5 were apical defects. Closure of the VSDs was through a right atriotomy or right ventriotomy. The complications of the operation were residual shunt(5 cases), supraventricular tachycardia(2 cases), right bundle conduction block(8 cases), Ⅲ° atrial ventricular conduction block(1 case), right pleura(1 case), pericardial effusion (1 case), and low cardiac output(1 case) . One patients died after the operation. Conclusions Knowing pathologic anatomy of mVSD definitely well and choosing appropriate treatment of mVSD can decrease the rate of residual shunt significantly.

关 键 词:肌部室间隔缺损 病理解剖 外科 

分 类 号:R726.5[医药卫生—儿科]

 

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