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为随访小儿先天性心脏病(先心病)肺高压术后远期情况,了解患儿的生命质量。选本院1988年中手术病例62例,手术年龄在0.3~7.5岁,体重5~19.2kg,以术前肺循环阻力/体循环阻力(RP/RS)0.5为界分A、B组,随访生长发育情况、心电图、胸片和彩超检查。结果:术后几年患儿生长发育、活动量明显增加,6例P2仍有亢进(9.6%),3例仍闻及有杂音(4.8%)。心电图均示窦律,其他异常与室缺位置及修补途径均无关。彩超示无残余分流,9例轻度TR(14.5%),A组和B组手术年龄分别应在3.5岁和1.5岁以前,术后可有90%的病例肺动脉压力的恢复。本文结果显示:室缺修补已趋于完善,术后的并发症与经房或经室修补途径无关,手术年龄宜在1.5~3.5岁前进行。
To follow-up of children with congenital heart disease (CHD) pulmonary hypertension long-term situation to understand the quality of life of children. We selected 62 cases of mid-operative surgery in 1988, aged from 0.3 to 7.5 years old and weighing 5 to 19.2 kg. The preoperative pulmonary circulation resistance / body-mass resistance (RP / RS) 0.5 was used as the boundary A , B group, follow-up growth and development, electrocardiogram, chest X-ray and color Doppler ultrasound examination. Results: After a few years, the growth and development of children increased significantly. Six cases had hyperthyroidism (9.6%), three cases still had noise and noise (4.8%). Electrocardiogram showed sinus rhythm, other abnormalities and ventricular septal defect location and repair path has nothing to do. Color ultrasonographic showed no residual shunt, 9 cases of mild TR (14.5%), A and B groups were 3.5 years of age and 1.5 years of age before surgery, after surgery may have 90% of pulmonary arterial pressure restore. The results of this paper show that the repair of ventricular septal defect has become more and more perfect. The postoperative complication has nothing to do with the way of intercostal or ventricle repair. The operative age should be 1.5 to 3.5 years old.