经右心房/肺动脉与经右心室切口根治法洛四联症的经验总结  

Experience of radical correction of tetralogy of fallot between transatrial/transpulmonary and transventricular incisions

作　　者：张玉龙[1] 李仲智[1] 李晓峰[1] 郭志和[1] 高国庆[1] 陆进[1] 

机构地区：[1]首都医科大学附属北京儿童医院心脏中心,100045

出　　处：《中国心血管病研究》2007年第2期83-85,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的总结经右心房/肺动脉与经右心室切口根治法洛四联症的经验。方法研究北京儿童医院心脏中心2004年1月至2006年4月74例小儿法洛四联症根治术的临床资料。A组16例经右心房/肺动脉切口,B组58例经右心室切口。结果围术期死亡3例,总死亡率4.05%。A组体外循环时间(108.50±23.27)min,阻断时间(69.56±18.24)min,B组体外循环时间(101.14±36.64)min,阻断时间(68.09±23.48)min。低心排综合征A组2例(12.50%),B组9例(15.52%);心律失常发生率A组1例(6.25%),B组5例(8.62%)。肺部并发症26例(35.14%)。结论严格把握经右心房/肺动脉切口与经右心室切口根治法洛四联症的适应证,注意心肌及肺脏的保护,可获得良好的手术效果。Objective To summarize the experience of radical correction of Tetralogy of Fallot between transatrail/transpulmonary and transventricular incisions. Methods Between January 2004 and April 2006, seventy-four pediatric patients underwent complete repair of TOF. There were 16 cases with transatrial/ transpulmonary incision in group A veins 58 patients with transventricular incision in group B. Results There were 3 deaths（overall mortality was 4.05%）. CPB time were （108.50±23.27）mln verus（101.14±36.64）min,and aortic clamping time were （69.56±18.24）min verus （68.09±23.48）min in group A and B. Low cardiac output syndrome were in 2 patients（12.50%） in group A verus 9 casos（15.52%） in group B. The incidence of arthythmia were 6.25% verus 8.62% in two groups. The complications of lung were 26 cases （35.14%）. Conclusion The effects of radical correction of TOF were satisfactory by grasping the indication for transatrial/transpulmonary and transventricular incision and protecting function of myoeardium and lung.

关 键 词：法洛四联症 心脏外科手术 体外循环 

分 类 号：R543.1[医药卫生—心血管疾病] R654.2[医药卫生—内科学]