| 婴儿法洛四联症的一期手术治疗 |
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| 引用本文： | 高文根,张仁福,汪曾炜,朱洪玉,王辉山,王军,宋恒昌.婴儿法洛四联症的一期手术治疗[J].江苏医药,2005,31(3):182-183. |
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| 作者姓名： | 高文根 张仁福 汪曾炜 朱洪玉 王辉山 王军 宋恒昌 |
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| 作者单位： | 110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科;110016,沈阳,沈阳军区总医院心血管外科 |
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| 摘 要： | 目的 总结婴儿法洛四联症的一期手术治疗经验。方法 20例婴儿法洛四联症患儿,占同期141例法洛四联症患者的14 18%,男13例,女7例,年龄3~12个月,平均(9. 2±2 .8)个月,体重3. 5~10 kg,平均(8. 2±1 .3) kg,均行一期手术治疗。结果 手术死亡1例,病死率5%;发生并发症4例。手术成功19例,术后随访3~18个月,疗效满意。结论 婴儿法洛四联症一期根治手术是可行的,早期手术矫治对患儿的整体发育有利,良好的体外循环心肌保护对婴儿法洛四联症的疗效起了关键作用。
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| 关 键 词： | 婴儿 法洛四联症 心肌保护 一期手术 |
| 修稿时间： | 2003年9月15日 |
One stage surgical treatment of tetralogy of Fallot in infant |
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| GAO Wengen,ZHANG Renfu,WANG Zengwei,et al..One stage surgical treatment of tetralogy of Fallot in infant[J].Jiangsu Medical Journal,2005,31(3):182-183. |
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| Authors: | GAO Wengen ZHANG Renfu WANG Zengwei |
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| Institution: | GAO Wengen,ZHANG Renfu,WANG Zengwei,et al. Department of Cardiovascular Surgery,General Hospital of Shenyang Military Region,Shenyang 110016,CHINA |
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| Abstract: | Objective To summarize the experience of diagnosis,surgical treatment and myocardial preservation of infant tetralogy of Fallot.Methods Twenty infants,13 male and 7 female aged from 3 to 12 months,weighted from 3.5 to 10 kg,were studied.All patients underwent one stage surgical treatment.Results One patient died(5%) and 4 patients had surgical complications after surgery.Surgical treatment in 19 patients followed up after surgery from 3 to 18 months was satisfactory.Conclusions One stage surgical treatment is feasible and advantageous to the infants with tetralogy of Fallot.Satisfactory myocardial preservation was a key step in the surgical treatment of infant tetralogy of Fallot. |
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| Keywords: | Infant Tetralogy of Fallot Myocardial preservation One stage treatment |
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