成人法洛四联症的围手术期治疗
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Perioperative management of Tetralogy of Fallot in adults
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    目的:总结回顾15岁以上法洛四联症患者的围手术期治疗经验。方法:1997年10月~2006年1月手术治疗50例15岁以上法洛四联症患者,年龄15~57岁,平均(21.96 ± 7.42)岁。手术治疗的关键是妥善疏通右心室流出道,用涤纶补片修补室间隔缺损并矫正主动脉骑跨,11例行不跨瓣流出道补片,30例行跨瓣流出道补片。结果:手术死亡1例(2%),其余患者心功能及临床表现均得到明显改善。结论:完善的外科矫治与修复及严密的围手术期处理是手术成功的关键,随访结果显示近期和远期效果满意。

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    Objective: To review the clinical experience in surgical treatment for Tetralogy of Fallot in adults over 15 years old. Methods:From October 1997 to January 2006,50 patients over 15 years old(15-57 years) underwent corrective repairment for Tetralogy of Fallot. Ventricular septal defects were repaired with Dacron patches in all patients. Forty-one cases were operated to widen the right ventricular outflow with patches and 9 cases underwent single repairment of right ventricular outflow. Results:One patient died from severe low cadiac output syndrome after operation. Heart functions and clinical manifestations were improved significantly in other patients. Conclusion:Proper surgical correction and careful perioperative management play an important role in the treatment of Tetralogy of Fallot in adults.

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陈 亮,陈广明,吴延虎.成人法洛四联症的围手术期治疗[J].南京医科大学学报(自然科学版),2006,(11):1100-1102

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  • 收稿日期:2006-05-30
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