心脏Ebstein畸形的手术治疗  

Surgical treatment of Ebstien's anomaly

作　　者：王维新[1] 解士胜[1] 万士杰[1] 仲京[1] 陈元恒[1] 徐金星[1] 

机构地区：[1]空军总医院心血管外科,北京100036

出　　处：《军医进修学院学报》2000年第2期117-119,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：总结 10例Ebstein心脏畸形 11次手术治疗的经验。方法 :男、女各 5例 ,年龄 5～ 40岁 ,平均18.8岁。根据临床症状、体格检查和超声心动图作出诊断。常规建立体外循环 ,手术行房化心室折叠 10例 ,部分三尖瓣成形 8例 ,三尖瓣替换 3例 ,闭合房缺或卵圆孔未闭 5例 ,部分右房壁切除 3例。结果 :无手术死亡。随访0 .3～ 9.8年 ,无远期死亡。心功能Ⅰ级 9例。Ⅳ级 1例 ,为重度三尖瓣关闭不全 ,已再手术 ,行三尖瓣替换 ,恢复良好 ,心功能Ⅱ级。结论 :Ebstein心脏畸形患者应当尽早接受手术治疗。矫正心脏畸形要彻底 ,积极防治心律失常。Objective:To review the experience in surgical treatment of 10 cases with Ebstien's anomaly. Methods:Surgical procedures performed under the general cardiopulmonary bypass included plication of atrialized right ventricle in 10 cases, DeVega's annuloplasty of tricuspid value in 8 cases, tricuspid valve replacement in 3 cases, closure of atrial septal defect or opening foramen ovale in 5 cases, partial excision of right atrial wall in 3 cases. Results:There was neither operative nor long time death during the 0.3～9.8 year follow up. Heart function of 9 patients in NYHA class I, one patient with heart function class IV received re operation because of the serious tricuspid regurgitation. Conclusion:The patients with Ebstein's anomaly should be corrected thoroughly and arrhythmia prevented and treated actively during or post operation.

关 键 词：体外循环 外科手术 心脏Ebstein畸形 

分 类 号：R654.2[医药卫生—外科学] R654.1[医药卫生—临床医学]