法乐氏四联症根治术后低心排的防治  

Preventing and Curing Low Cardiac Output after Operating Tetralogy of Fallot

作　　者：高廷朝[1] 王平凡[1] 徐宏耀[1] 朱汝军[1] 梁志强[1] 王涛[1] 李友金[1] 刘淼[1] 薛颢雨[1] 

机构地区：[1]河南省胸科医院心血管外科,郑州市450003

出　　处：《医药论坛杂志》2007年第6期37-38,共2页Journal of Medical Forum

摘　　要：目的总结法乐氏四联症根治术后低心排的预防及治疗方法。方法2003年1月至2006年5月共进行法乐氏四联症根治术468例。其中2月至2岁95例,3岁至12岁267例,13岁至28岁106例。肺动脉指数(Nakata指数)为(153.47±0.3)mm2/m2,左室容积指数(36.82±15.73)m l/m2,M cGoon比值1.5±0.3。均在全麻低温体外循环下行根治术。结果术后发生低心排27例,低心排发生率为5.77%,死亡3例,低心排死亡率为11.11%。结论法乐氏四联症根治术后低心排的防治重点在于重视术前处理及病情评估,术中心肌保护及右室流出道疏通,术后胶体容量补充及强心治疗。Objective To sum up the method of preventing and curing the low cardiac output （LCO） after operating Tetralogy of Fallot （TOF）. Methods 468 patients were treated with operation from January 2003 to May 2006.2 months -2 years had 95 patients,3 years - 12 years had 267 patients,13 years-28 years had 106 patients. The pulmonary coefficient was（ 153.47 ±0. 3 ）mm^2/m^2. The left ventricular index was（ 36. 82 ± 15.73 ）ml/m^2. The McGoon rate was 1.5 ±0. 3. All radical operations of TOF were performed under the general anesthesia and cardiopulmonary bypass. Results 27 patients suffered from low cardiac output after operation （ LCO rate was 5.77% ）. 3 patients died （ the death rate of LCO was 11.11% ）. Conclusion The key of preventing and curing LCO after operating TOF was the preparation and evaluation before operation, myocardial protection and dredging the right ventricle out -flow fully during operation, suplementing blood volume and enhancing the cardiac function after operation.

关 键 词：法乐氏四联症 低心排综合征 根治术 

分 类 号：R619[医药卫生—外科学]