婴幼儿法洛四联症根治术85例  

Clinical Study on Radical Surgery for Tetralogy of Fallot in infancy with New Technique.

作　　者：高宏[1] 徐伟[1] 宋保国[1] 张曦[1] 王沙[1] 李海明[1] 

机构地区：[1]陕西省人民医院心脏外科,陕西省西安市710068

出　　处：《临床小儿外科杂志》2013年第4期299-301,共3页Journal of Clinical Pediatric Surgery

基　　金：该研究为陕西省科学技术厅社发攻关计划项目,项日编号：2011K14-04-02

摘　　要：目的探讨经主肺动脉和右心房径路手术，根治婴幼儿法洛四联症（TOF）的适应证和临床疗效。方法对2008年1月至2012年12月我们收治的85例TOF患儿，采取经主肺动脉和右心房径路施行TOF根治术，占同期TOF手术的72．6％（85／117）。结果85例患儿均存活。术后均采用小剂量多巴胺辅助循环。随访2～60个月，无死亡病例。无明显肺动脉瓣反流，心功能良好。结论肺动脉瓣环发育良好的TOF婴幼儿可经主肺动脉和右心房径路行根治术，该术式肺动脉瓣完整，无右心室切口，右心功能良好，围手术期并发症少，近中期随访疗效良好。Objetive To explore the indications and results of the pulmonary artery and transatrial approach in surgical correction of tetralogy of Fallot. Methods 85 cases underwent pulmonary and transatrial repair of tetralogy of Fallot. Results All infancy were very well postoperatively. Only small dose of Dopamine to support the hearts. Postoperative followed up for 2 - 60 months,No death. 78 cases cardiac function was NYHA I. Conclusion The pulmonary and transatr/al repair of tetralogy of Fallot is very good in infancy. It can protect right ventricle function by use this technique.

关 键 词：法洛四联症 婴儿 新生 

分 类 号：R541.7[医药卫生—心血管疾病]