非体外循环下双向格林分流术  

Bi-directional Glenn shunt without CPB

作　　者：萧明第[1] 肖亦敏[1] 薛松[1] 

机构地区：[1]上海市第一人民医院心外科,200080

出　　处：《上海医学》2003年第3期186-187,共2页Shanghai Medical Journal

摘　　要：目的　应用非体外循环下双向格林分流术治疗复杂先天性心脏病 ,评价其疗效。方法　 2 0 0 2年4～ 7月 ,我院行非体外循环下双向格林分流术治疗单心室等复杂先天性心脏病 5例 ,其中单侧双向格林分流术3例 ,双侧双向格林分流术 2例。术前患者均经血气分析、血常规、超声心动图等检查。氧饱和度为 (78.7± 3.0 ) %。结果　所有患者无一例死亡 ,均顺利出院。术后血氧饱和度升高至 (93.9± 0 .9) % ,紫绀症状改善。结论　非体外循环下双向格林分流术的手术方法安全、并发症少。Objective To evaluate the clinical effect of bi directional Glenn shunt without CPB.Methods Between April and July 2002, 5 patients (4 male and 1 female) underwent bi directional Glenn shunt whitout CPB, including bi directional Glenn shunt ( n =3) and bilateral bi directional Glenn shunt ( n =2). SaO 2 before operation was (78.7±3.0)%.Results All the patient were discharged uneventfully without mortality. The average SaO 2 was ( 93.9 ± 0.9 )%.Conclusion Bi directional Glenn shunt without CPB is an useful and safe procedure .

关 键 词：复杂先天性心脏病 双向格林分流术 非体外循环 手术方法 

分 类 号：R654.2[医药卫生—外科学]