小儿多发室间隔缺损临床分析

目的 总结小儿单纯性多发室间隔缺损外科治疗的经验教训,以提高对本病的诊治水平。方法 回顾性分析21例多发性室间隔缺损患儿的临床诊治资料。结果 本组患儿诊断准确率95．2％,病死率9．5％,无残余漏发生。2例术后早期出现Ⅲ度房室传导阻滞。结论 小儿多发肌部室间隔缺损,行手术矫治疗效满意;术前详细的心脏彩色血流图检查和术中仔细探察,对于提高本病诊断准确率,防止手术后残余漏至关重要。

Clinical analysis of the children with multiple ventricular septal defects

Objective To review the experiences in surgical management and diagnosis for the childen with multiple ventricular septal defects (VSDs). Methods The clinical data of 21 childen with multiple VSDs (8 males, 13 females) were analysed retrospectively. Multiple muscle defects in all patients were repaired by left ventricle incision and their near future clinical outcome was investigated. Results The accuracy of diagnosis was 95 2% and the mortality was 9 5%. No residual shunts were found. Complete atrioventricular block was found early in 2 patients postoperation. Conclusions The operative outcome of children with multiple VSDs is satisfied. For these patients detailed preoperative color flow mapping and careful observation during operation are essential to increase the accuracy of diagnosis and prevention of residual shunts.