连续法乐式四联症外科治疗无手术死亡48例分析  

Surgical Treatment of Teralogy of Fallot in Consecutive 48 Cases without Mortality

作　　者：陶杰[1] 段冰松[1] 段玉印[1] 蔡冰[1] 

机构地区：[1]昆明医学院第一附属医院心血管外科,云南昆明650032

出　　处：《昆明医学院学报》2010年第5期84-86,共3页Journal of Kunming Medical College

摘　　要：目的分析总结连续48例法乐式四联症根治术无手术死亡经验.方法 48例法乐式四联症病人,1～32岁,平均(10.6±4.8)岁,3岁以下25例,合并房间隔缺损和动脉导管未闭10例.全部病儿均施行根治手术,用dacron补片修补室间隔缺损,用自体心包作右室流出道及肺动脉扩大,20例(41.7%)作了跨瓣环补片.结果全组无手术死亡.随访3～24个月,术后5个月1例死于心律紊乱,其余均恢复良好.结论改进手术方法,彻底解除右室流出道及肺动脉远端梗阻,选用适当的转流技术和重视术后监测是提高法乐式四联症根治术成功率的关键.Objictive To sum up the experiences in surgical treatment of teralogy of Fallot（TOF）in 48 patients without mortality.Methods 48 patients with TOF,aged between 1 and 32 years（the average age was 10.6 year）s,underwent surgical treatment.Among them,25 patients were younger than 3 years old.10 patients had atrial septal defect and patent ductus arteriosus.All patients underwent total correction.Dacron patch was used to repair the atrial septal defect.20 cases（41.7%）received transannular patches.Res ults There was no hospital mortality.The patients were followed up for 3～24 months.One patients died five months after operation because of cardiac arrythmia.The remaining patients recovered well.Conclus ion Improvement of surgical technique,total relief of obstruction of right ventricular oulfIow tract and distal pulmonary arteries and proper postoperative care are important influencing factors of surgical outcome of teralogy of Fallot.

关 键 词：法乐式四联症 外科治疗 体外循环 

分 类 号：R541.1[医药卫生—心血管疾病]