成人法乐氏四联症临床治疗47例  

Experience of tetralogy of Fallot clinical treatment in adult

作　　者：祝恒山 席晓[1] 方汉军[1] 吴涛[1] 

机构地区：[1]延安大学咸阳医院心脏外科,咸阳712000

出　　处：《陕西医学杂志》2016年第4期419-421,共3页Shaanxi Medical Journal

摘　　要：目的：探讨成人法乐氏四联症（TOF）的手术治疗效果。方法：选取成人TOF患者47例,在中低温循环下行TOF根治术治疗,观察患者的临床治疗效果。结果：手术平均用时219.84±47.26min,体外循环时间90.68±29.13min,主动脉阻断时间55.52±23.58min;手术死亡3例,病死率6.38%;其余44例患者术后早期均恢复顺利。随访6个月至7年,NYHA均恢复至Ⅰ~Ⅱ级,未见死亡病例。结论：成人TOF的根治手术临床治疗效果确切,围术期给予积极正确的处理可有效降低病死率和并发症的发生,改善患者的生活质量。Objective：To explore the operation treatment effect of adult tetralogy of fallot （TOF） . Methods：47 patients with adult TOF in our hospital from March 2007 to December 2014, which were treated by TOF of corrective operation in the hypothermia cardiopulmonary bypass, and the clinical therapeutic effect of TOF was observed. Results：The average operation time was （219.84±47.26） rain, cardiopulmonary bypass time was （90.68±29.13） min, and aortic occlusion time was （55.52±23.58） min; 3 cases died of operation, the mortality rate was 6. 38%, and the other 44 cases recovered well after operation. Followed up from 6 months to 7 years, NYHA recovered to grade I to II , and no death. Conclusion：The clinical effect of radical operation for aduh TOF is definite, the perioperative treatment can effectively reduce the mortality and complications, and improve the quality of life of patients.

关 键 词：心脏病/外科学 @法乐氏四联症 成年人 

分 类 号：R654.2[医药卫生—外科学]