完全性肺静脉异位引流的外科矫治

目的总结完全性肺静脉异位引流（TAPVR）的外科治疗经验,以提高手术疗效。方法 22例患者中男10例,女12例。年龄2～14岁。心上型8例,心内型13例,混合型1例。全组均在中度低温体外循环下行TAPVR矫治术。结果手术死亡1例,死于术后严重低心排出量综合征;术后并发心律失常3例,呼吸道感染2例。结论完全性肺静脉畸形引流一经确诊应尽早手术。通过手术技术的改进心上法治疗心上型TAPVR,手术部位显露好,术后心律失常发生率低。TAPVR的外科矫治可取得满意的疗效。

Surgical treatment of total anomalous pulmonary venous return

Objective To review the experience of surgical treatment of total anomalous pulmonary venous return（TAPVR）,to improve its treatment result.Methods In a total of 22 patients,there were 10 males and 12 females aged two to 14 years old.Correction of TAPVR was performed under moderate hypothermic cardiopulmonary bypass.8 patients had supracardiac return,13 patients had intracardiac return and one mixed.Results One patient died postoperatively because of severe low output syndrome.The postoperative complications include arrhythmia in 3 and respiratory infection in 2.Conclusion TAPVR should be surgically corrected early.In view of current improved surgical techniques,supracardiac anastomosis in treatment of supracardiac TAPVR is convenient to operate,and can reduce the risk of arrhythmia.Surgical treatment of TAPVR may expect a satisfactory result.