法洛四联症外科治疗34例  

SURGICAL MANAGEMENT OF 34 CASES WITH TETRALOGY OF FALLOT

作　　者：梁葳[1] 李韬[1] 周其文[1] 杨东山[1] 

机构地区：[1]广东省茂名市人民医院心胸外科,525000

出　　处：《中国心血管病研究》2004年第6期425-427,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的 总结法洛四联症(TOF)外科治疗经验。方法 34例法洛四联症患者,32例在中低温体外循环、胸部正中切口行TOF根治术,1例在非体外循环下行改良B-T分流术,1例行根治术同时行双向Glenn分流术。结果术后早期死亡1例,死亡原因为低心排血量综合征(LOS),无远期死亡。结论 TOF应争取早日行根治术,肺动脉发育差者应行改良B-T分流术,右心室发育不良者在行根治术同时行双向Glenn分流术,死亡原因以LOS多见,应采取合适的手术方式及围术期多种方法预防。Objective To summarize the experience of surgical intervention to tetralogy of fallot (TOF). Methods A total of 34 patients with tetralogy fallot(TOF) with 2～16 years old age range. Of which,32 patients received the complete repair through mediam sternotomy under moderate- hypothermic cardiopulmonary bypass, 1 patient received modified Blalock - Taussing shunt without cardiopulmonary bypass, 1 patient with right ventricle severe hypoplasia received bidirectional Glenn shunt and complete repair. Results 1 patient died of low cardiac output syndrome(LOS)in early postoperative period,no patient died in later period. Conclusion The complete repair of TOF should be performed as early as possible, TOF with pulmonary arteria 1 hypoplasia should receive modified Blalock-Taussing shunt, TOF with right ventricle severe hypoplasia should receive bi-directional Glenn shunt and complete repair. The main reason of death is low cardiac output syndrome, which should be prevented by appropriate cardiac surgical procedures and other multiple therapies in perioperative period.

关 键 词：法洛四联症 胸外科手术 低心排血量综合征 

分 类 号：R654.2[医药卫生—外科学]