房室隔缺损的外科治疗体会  

Surgical treatment of atrioventricular septal defect

作　　者：王宏山[1] 周晴[1] 李明[1] 申红亚[1] 戴仕林[1] 

机构地区：[1]郑州大学第二附属医院心血管外科,410073

出　　处：《中国现代药物应用》2011年第5期23-25,共3页Chinese Journal of Modern Drug Application

摘　　要：目的总结房室隔缺损的手术治疗效果及临床经验。方法对49例部分型房室隔缺损、4例过渡型房室隔缺损和8例完全型房室缺损患者进行手术矫治,3例伴有Down综合征,5例合并左上腔静脉,2例合并法洛四联征。结果术后早期死亡1例,死于多重耐药菌感染性肺炎,随访3～60个月,无远期死亡,术后1例二尖瓣重度反流的于4年后行二尖瓣置换,1例二尖瓣中度反流患者术后5年反流加重。结论房室隔缺损患者一经确诊应尽早手术治疗,瓣膜成形和避免房室传导阻滞是矫治房室隔缺损手术的关键。Objective To summary the surgical therapeutic efficacy and clinical experience of atrioventricular septal defect.Methods Surgical therapy of 49 patients with partial atrioventricular septal defect,4 patients with transitional atrioventricular septal defect and 8 patients with complete atrioventricular septal defect.Among those patients,3 cases with Down＇s syndrome,5 cases with left superior vena cava and 2 cases with tetralogy of Fallot.Results 1 patient died of multi-drug resistant pneumonia early after operation.After a follow-up of 3 to 60 months,no death of others patients.1 patient of severe mitral regurgitation progress mitral valve replacement 4 years later after surgery,and 1 patient of moderate mitral regurgitation aggravation after 5 years.Conclusion Patients with atrioventricular septal defect should have surgery treatment as soon as possible,valvuloplasty and avoiding atrioventricular block is the surgical key point of atrioventricular septal defect.

关 键 词：部分型房室隔缺损 过渡型房室隔缺损 完全型室间隔缺损 

分 类 号：R654.2[医药卫生—外科学]