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虽然近年来有些心血管中心报告用根治手术治疗青紫型先天性心脏病得到较好的成绩。但是,作者认为体-肺转流术仍然是治疗青紫型先天性心脏病的一种重要的方法。本文报告采用Blalock-Taussig吻合术(锁骨下动脉-肺动脉吻合术)治疗2岁以内肺缺血型先天性心脏病的结果。 1968年1月～1977年1月收治小于24个月的病儿24例,其中一半小于12个月,最小年龄8天,体重3.6公斤。多数为法乐氏四联症,占18例。手术指证为:紫绀、烦燥、发作性缺氧史、活动能量逐渐下降。手术经第四肋间后外侧切口进胸,强调对锁骨下动脉游
Although some cardiovascular centers in recent years reported radical treatment of purple type congenital heart disease get better results. However, the authors believe that body-lung bypass is still an important method of treating cyanotic congenital heart disease. This article reports the results of Blalock-Taussig anastomosis (subclavian artery-pulmonary anastomosis) for the treatment of pulmonary ischemic congenital heart disease within 2 years of age. From January 1968 to January 1977, 24 cases of sick children younger than 24 months were admitted. Half of them were less than 12 months and the youngest was 8 days with a body weight of 3.6 kg. The majority of tetralogy of Fallot, 18 cases. Surgical indications: cyanosis, irritability, episodes of hypoxia history, activity energy decreased. Surgery through the fourth intercostal posterolateral incision into the chest, emphasizing the swim on the subclavian artery