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目的观察小于6个月的法乐四联征患儿行根治性手术治疗的远期效果。方法 56例法乐四联征1～6个月患儿均采用右心房、右心室纵切口,补片修补室间隔缺损,15例仅行右心室流出道加宽补片,41例行跨环补片。结果术后早期无死亡;发绀均消失,血氧饱和度均在96%以上;随访3～62个月,1例死亡,2例需行二次手术,1例左肺动脉狭窄,1例右心室流出道残余梗阻;NYHA心功能Ⅰ级或Ⅱ级。结论 小于6个月的法乐四联征患儿行根治手术安全、有效,远期效果良好。
Objective To observe the long-term effect of radical surgery in children with tetralogy of Fallot less than 6 months. Methods 56 cases of tetralogy of Fallot from 1 to 6 months were using right atrium, right ventricular longitudinal incision, patch repair ventricular septal defect, 15 cases only right ventricular outflow tract widening patch, 41 cases of cross-ring Patch. Results No early death occurred after surgery. Cyanosis disappeared and blood oxygen saturation was above 96%. One case died of follow-up from 3 to 62 months. Two cases needed secondary surgery. One case had left pulmonary artery stenosis and one case had right ventricle Outflow tract residual obstruction; NYHA cardiac function grade or grade. Conclusion Children under 4 years old with tetralogy of Fallot are safe and effective in radical surgery, and long-term results are good.