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婴儿法乐氏四联症24例根治术体会

ORRECTIVE SURGERY FOR TETRAIOGY OF FALLOT IN INFANTS
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摘要 1988年1月至1991年5月,实施婴儿法乐氏四联症根治术24例。年龄8天~1岁。其中紫绀19例,杵状指6例。胸骨左缘Ⅱ~Ⅳ肋间可闻收缩期杂音2~4/6级。红细胞压积0.3~0.61,血红蛋白107g/L~201g/L。死亡1例,死亡率4.2%。9例术后发生低心排综合征。术后患儿紫绀消失,心脏杂音减弱,活动量增加。作者指出:婴儿法乐氏四联症的右室流出道疏通应>1.0cm。 From January.1988 to May 1991,24 infants with tetralogy of Fallot under- went corrective surgery.Their age ranged from 8 days to 1 year.Cyanosis were in 19 and clubbed-fingers in 6.Grade 2~4/6 systacic murmur could be heard at the 2nd~4th intercostal space near the left sternal border.Hematocrit ranged from 0.30~0.61,hemoglobin 107g/L~ 201 g/L.One patient died of operation,making a mortalty rate of 4.2%.9 cases suffered from postoperative low cardiac output syndrome.After surgery all patients had no more cyanosis,their heart murmur decreased and their activity increased.The authors point out that the appropriate standard of right ventricular infundibular reconstruction should be>1.0 cm in infants.
作者 解建 杨能善
出处 《泰山医学院学报》 CAS 1992年第2期185-188,共4页 Journal of Taishan Medical College
关键词 法乐氏四联症 婴儿 根治术 紫绀 术后 体会 收缩期杂音 增加 消失 作者 infant tetralogy Fallot corrective surgery
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