摘要
近30年中,我院对30例小儿完全型房室通道畸形做了外科根治术。手术采用单片法16例,双片法14例,合并其它心血管畸形做相应处理。住院死亡率36.7%,近5年为15.4%。随诊16例,效果优良率为75%。本文着重讨论了手术方法及影响疗效的因素。
From Februray 1963 to July 1990, 30 consecutive cases with mean age of 6, 3 yr. receivd complete repair of atrioventricular septal defect, the pathological type of which was all Rastelli A. Repair was performed with single-patch technique on 16 cases, with twopatch technique on 14. Complicating abnormalities in 11 cases (such as tetralogy of Fallot and so on) underwent surgical procedures also except 1 cor triatriaturn. Hospital mortality was 36.7% (11/30), twopatch 50% (7/14) versus single-patch 25% (4/16). But in the recent 5 years it was decreased to 15.4% (2/13). There was no death in the last 9 consecutive patients who had no complicating abnormalities. Follow-up of 16 cases, ranged from 1 to 174 months, revealed good in 75%. We concluded that (1) singlepatch technique was better than two-patch in our series, good outcome can also be resulted from proper practice of the latter. The key point is precise reconstruction of the functional integrity of mitral valve; (2) the main complication of unsatisfactory repair in the early postoperative period is left ventricular outflow tract obstruction, so it is important to know the cause and management.
出处
《中国循环杂志》
CSCD
1993年第9期521-523,共3页
Chinese Circulation Journal
