婴儿法洛四联症根治手术40例临床分析

• 作 者: 廖健毅 徐洪军 徐永根 曹鼎方
• 机 构: 苏州大学附属儿童医院心胸外科,
• 出 处: 苏州大学学报(医学版)
• 发表日期: 2011年01期
• 关键词: 婴儿 法洛四联症 体外循环技术 术后监护 根治手术 围手术期 紫绀 低心排综合征 体外循环 瓣环

目的总结婴儿法洛四联症(TOF)根治术的治疗经验,探讨提高手术成功率的措施。方法回顾性分析40例婴儿法洛四联症根治手术的临床资料。结果本组39例患儿治愈出院,围手术期死亡1例(2.5%),其余患者术后随访2～36个月,均恢复良好,紫绀消失。结论小于1岁婴儿TOF根治术是安全可靠的,提高手术和体外循环技术水平、加强术后监护是确保手术成功的关键。

Objective To summarize the experience of treatment of tetralogy of Fallot (TOF) in infants and explore the measures to improve the success rate of surgery. Methods The clinical data of 40 infants with tetralogy of Fallot were retrospectively analyzed. Results In this group, 39 cases were cured and discharged. One patient (2.5%) died during the perioperative period. The remaining patients were followed up for 2 to 36 months and recovered well. The cyanosis disappeared. Conclusion TOF is less than 1 year-old baby is safe and reliable, improve surgery and cardiopulmonary bypass technology, strengthen postoperative care is the key to ensure the success of the operation.