体-肺分流术在重症法洛四联症中的应用  

Application of body-pulmonary shunt in treatment of severe tetralogy of Fallot

作　　者：姬建胜[1,2] 王平凡[2] 徐宏耀[2] 

机构地区：[1]郑州大学第一附属医院,郑州450052 [2]河南省胸科医院

出　　处：《医药论坛杂志》2011年第16期15-16,19,共3页Journal of Medical Forum

摘　　要：目的探讨体-肺分流术在重症法乐四联症中的应用,评价其效果。方法郑州大学第一附属医院将2008年1月1日—2010年12月31日收治的法乐四联症(共285例)中的21例重症患者采取了体-肺分流手术,分析比较术前和术后的血氧饱和度、Nakata指数、LVEDVI三项指标。结果术后进行为期(11±8)个月随访,体-肺分流手术前与分流术后的血氧饱和度分别是68.4%和80.8%,P<0.05。两者的Nakata指数分别是115.1mm2/m2和175.3mm2/m2,P<0.05。两者的左心室舒张末容积指数(LVEDVI)分别是20.6ml/m2和33.3ml/m2,P<0.05。结论重症法洛四联症可采取体-肺分流手术,增加肺血流量,改善氧合,促进肺血管发育,为Ⅱ期根治手术创造机会。Objective To investigate the application of body-pulmonary shunt in treafmenf of severe tetralogy of Fallot,evaluate its effectiveness.Methods We choosed 1 January,2008 to December 31,2010 were treated tetralogy of Fallot（285 patients） in 21 cases of critically ill patients underwent body-pulmonary shunt surgery,analyze and compare the preoperative and postoperative oxygen saturation,Nakata index,LVEDVI three indicators.Results After a period of（11±8） months follow-up,body-pulmonary shunt before surgery and the shunt of blood oxygen saturation were 68.4% and 80.8%,P〈0.05.Both Nakata index were 115.1mm2/ m2 and 175.3mm2/m2,P〈0.05.Both left ventricular end-diastolic volume index（LVEDVI） are 20.6ml/ m2 and 33.3ml/m2,P〈0.05.Conclusions Severe tetralogy of Fallot can be taken to the body-lung bypass surgery,increase pulmonary blood flow,improve oxygenation and promote lung vascular development,creating opportunities for the second stage radical operation.

关 键 词：重症法乐四联症 体-肺分流术 应用 

分 类 号：R654.2[医药卫生—外科学]