先天性心脏病外科治疗中国专家共识(八):单心室生理矫治系列手术  

Chinese expert consensus on surgical treatment of congenital heart disease(8): Series of procedures for univentricular heart

作　　者：花中东[1,2] 李守军 HUA Zhongdong;LI Shoujun(Department of Pediatric Cardiac Surgery,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China)

机构地区：[1]中国医学科学院北京协和医学院国家心血管病中心阜外医院小儿外科中心,北京100037 [2]国家心血管病专家委员会先天性心脏病专业委员会

出　　处：《中国胸心血管外科临床杂志》2020年第9期979-986,共8页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：对于功能性单心室心脏病患者,Fontan系列姑息手术策略可以实现体循环和肺循环的分离和降低心室容量超负荷。目前心脏外科的技术进步大大提高了手术生存率。但是其特殊的生理学特点和姑息手术的本质决定了仍有很多可能的问题。面对我国医疗资源的不平衡,各地区对Fontan治疗的不同认识,Fontan策略、手术技术和围手术期治疗的现状尚没有共识,我们组织专家组进行了讨论。通过查阅大量文献,评估Fontan循环的生存率和危险因素,通过数十位专家的知识共享,对Fontan姑息的许多方面达成了一些共识。我们希望此共识将有助于中国同行进一步努力改善单心室心脏病患者的手术结果。In patients with a functionally univentricular heart,the Fontan strategy achieves separation of the systemic and pulmonary circulation and reduction of ventricular volume overload.Contemporary modifications of surgical techniques have significantly improved survival rate.However,the resulting Fontan physiology is associated with high morbidity.Despite large improvements in outcomes of contemporary Fontan patients,a large burden of disease exists in this patient population.In face of the imbalance of medical resources in China and different understanding of Fontan treatment in various regions,there is no consensus on the current status of Fontan strategy,surgical technique and perioperative treatment.By reviewing large amounts of literature,assessing survival rate and risk factors for mortality and complications of the Fontan circulation,knowledge sharing from tens of experts,we achieved a consensus on many aspects of palliation of Fontan.We hope this consensus will help Chinese colleagues further continue their efforts to improve surgical outcomes of the univentricular heart patients.

关 键 词：单心室 规范治疗 姑息手术 外科手术 专家共识 

分 类 号：R726.5[医药卫生—儿科]