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颅内脓肿和脑血栓形成是先天性心脏病最严重的并发症,过去认为并发脑脓肿的先天性心脏病预后较差,但近年神经外科和心脏外科的发展,特别是CT 能早期发现这些病变,已有可能延长这些病人的生命。本文讨论了先天性心脏病并发脑脓肿的有关外科处理问题。作者从1969年5月至1981年7月共收治82例脑脓肿,其中62例患有先天性心脏病(占75.2%),发病年龄高峰在幼年和青春期,尤其是4～7岁,本组男性占优势(1.7:1),但15岁以下性别差异不大(1.1:1),2岁以下发生脑脓肿非常罕见。先天性心脏病最常见的类型是:法采氏四联征38例(占61.2%)、大动脉完全易位6例(占9.6%),其余为三尖瓣闭锁、房、室间隔缺损等。
Intracranial abscess and cerebral thrombosis are the most serious complication of congenital heart disease. In the past, the prognosis of congenital heart disease complicated with brain abscess was poor. However, the development of neurosurgery and cardiac surgery in recent years, especially CT, can early detect these lesions , It has been possible to extend the lives of these patients. This article discusses the surgical management of congenital heart disease complicated with brain abscess. From May 1969 to July 1981 a total of 82 cases of brain abscess were treated, of which 62 cases of congenital heart disease (75.2%), the peak age of onset in infancy and adolescence, especially 4 to 7 years old, the group Men predominate (1.7: 1), but gender differences under 15 are not significant (1.1: 1) and brain abscesses below 2 years of age are rare. The most common types of congenital heart disease are: Facet’s quadruple sign in 38 cases (61.2%), complete arterial transposition in 6 cases (9.6%), the rest of the tricuspid atresia, atrial septal defect.