| 室间隔缺损术后残余漏的发生原因及处理 |
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| 引用本文： | 王晓明,郭兰敏,邹承伟,訾捷.室间隔缺损术后残余漏的发生原因及处理[J].山东医药,2001,41(2):5-6. |
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| 作者姓名： | 王晓明 郭兰敏 邹承伟 訾捷 |
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| 作者单位： | 山东省立医院山东济南 250021 |
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| 摘 要： | 回顾1454例室间隔缺损修补术后65例(4.5％)残余漏的发生及转归。其中单纯室间隔缺损(VSD)1152例，术后残余漏38例(3.3％)；合并VSD的302例中，法乐氏四联症(TOF)201例，残余漏13例(6.5％)。本组65例残余漏患者中，二次手术修补27例(3例死亡)，自行闭合9例，缩小24例，无变化5例。认为室间隔缺损＞8mm者应补片修补，残余缺损＞5mm者宜早期手术治疗，＜5mm者可随访；提高手术技术是预防残余漏发生的关键。
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| 关 键 词： | 室间隔缺损 残余漏 手术后并发症 |
| 修稿时间： | 2000年10月16 |
Experience of the causes
and treaments in 65 cases of residual shunt after VSD repair |
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| Wang Xiaoming Guo Lanmin Zou,Chengwei.Experience of the causes
and treaments in 65 cases of residual shunt after VSD repair[J].Shandong Medical Journal,2001,41(2):5-6. |
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| Authors: | Wang Xiaoming Guo Lanmin Zou Chengwei |
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| Abstract: | patients of VSD were repaired,RS 65 cases(4 5%) Simple VSD 1152 cases,RS 38 cases(3 3%) VSD as a concomitant heart abnormality 302 cases,in which TOF 201 cases,RS 13 cases(6 5%) All of 65 patients,reoperation for repair of the residual shunt was performed in 27 cases,spontaneous closure occurred in 9 cases,the residual shunt became smaller in 24 cases and unchanged in 5 cases Three patients died This suggested the patients with large VSD(>8mm)should be repaired with patch Significant residual shunt(>5mm)should be early reoperated Improvement of the repair skills is the key to prevention of residual shunt |
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| Keywords: | Ventricular septal defect Residual shunt |
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