156例法洛四联症手术治疗经验  

The experience of operation in 156 cases with tetralogy of Fallot

作　　者：张伟[1] 张仁福[1] 孙江泰[1] 金伟[1] 田振莲[1] 张宝芬[1] 陈宇翔[1] 

机构地区：[1]吉林省心脏病研究所,吉林心脏病医院心外科,长春市130021

出　　处：《中国心血管病研究》2008年第4期254-256,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的分析法洛四联症(TOF)的病变特点,总结其手术治疗经验。方法回顾性分析我院自2005年1月至2008年1月间实施的156例TOF手术情况,其中在低温、体外循环下行TOF根治术147例(包括Ⅰ期手术143例,TOF中央分流术后Ⅱ期根治4例),根治术同时行双向格林手术、右室至肺动脉人工血管外通道(Rastelli)术及主动脉瓣替换术各1例;非体外循环下中央分流术9例。结果术后早期(30d内)死亡4例,手术死亡率2.56%。死亡原因为低心排综合征、心功能衰竭3例,灌注肺、呼吸衰竭1例。其他主要并发症27例。随访1～36个月,晚期死亡1例,死于大量心包积液所致的心律紊乱。结论准确的掌握手术指征,根据不同病变采取不同术式是手术成功的关键。Objective To analyze the pathologic characteristics of teralogy of Fallot （TOF）and summarize the experience of the operation for TOF. Methods 156 TOF cases having been performed operation in our hospital from January 2005 to January 2008 were selected. 147 have been performed total correction surgical procedure, among them one-stage 143 cases,two-stage 4 cases. The other 9 cases underwent off pump shunt operation. Results 4 cases died in early stage after operation （〈30 d）,and the hospital mortality was 2.56%.Three of them died from severe low cardiac output syndrome,and one died from perfusion lung and respiratory failure. Follow up 1-36 months, 1 case died from arrhythmia caused by chronic pericardiac tendon in late stage. Conclusion To master the operation indication and perform with different methods in TOF patients with different pathologic features is the keypoint of successful operation.

关 键 词：法洛四联症 心脏外科手术 心肺转流术 

分 类 号：R654.2[医药卫生—外科学]