婴幼儿法洛四联症根治术63例  

Clinical analysis on radical correction of tetralogy of Fallot in 63 infants

作　　者：陈景伟[1] 钟焕清[1] 夏天[1] 赖锋华[1] 刘浪[1] 林秋伟[1] 

机构地区：[1]广东省高州市人民医院心外三科,525200

出　　处：《中国实用医药》2009年第3期13-14,共2页China Practical Medicine

摘　　要：目的探讨提高婴幼儿法洛四联症(TOF)根治术成功率的措施。方法2005年1月至2008年8月共行婴幼儿TOF根治术63例,年龄为2～35个月,体质量3.5～15.0kg。全组经超声心电图检查确诊;肺动脉指数为130～175mm2/m2,左室舒张末期容积指数为28～52ml/m2。全组均在中低温体外循环心脏停跳下行TOF根治术。结果全组术后早期死亡3例,死亡率为4.7%;3例均死于低心排综合征。余60例随访2～44个月,均无严重并发症发生。结论提高手术技巧和加强围术期处理是提高婴幼儿TOF根治术成功率的关键。Objective To summarize the experience of radical correction of tetralogy of Fallot in 63 infants. Methods From Jan 2005 to Aug 2008,63 infants with tetralogy of Fallot whose age ranged from 2 months to 35 months and whose weight ranged from 3.5 to 15 kilograms,underwent radical correction. All infants had accurate diagnosis by echocardiogram. The pulmonary artery index was 130 - 175 mm^2/m^2, The left ventrieular end-diastolic volume index was 28 -52 ml/m^2. All infants were operated under moderate hypothermic cardiopulmonary bypass and arresting heart. Results 3 eases died for low cardiac output syndrome. The death rate was 4. 7%. No severe complication occurred for the other 60 cases in following up 2 to 44 months. Conclusion Improving surgical skill and strengthening perioperative care are the key of success in radical correction of tetralogy of Fallot in infants.

关 键 词：法洛四联症 根治术 婴幼儿 

分 类 号：R726.5[医药卫生—儿科]