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成人法洛四联症60例外科治疗体会
引用本文:贺继刚,沈振亚,余云生,黄浩岳,叶文学,丁英龙. 成人法洛四联症60例外科治疗体会[J]. 心肺血管病杂志, 2012, 31(3): 318-319
作者姓名:贺继刚  沈振亚  余云生  黄浩岳  叶文学  丁英龙
作者单位:215006,江苏 苏州大学附属第一医院心血管外科
摘    要:目的:探讨成人法洛四联症(TOF)外科手术治疗。方法:成人TOF外科治疗60例,全组均有右心室流出道狭窄,15例肺动脉瓣狭窄,其中4例重度狭窄行成型术不满意或无法成型,而行跨环补片,2例因冠状动脉畸形而行(20~22)号牛颈静脉带瓣管道。结果:本组术后死亡5例,病死率8.3%。死于严重低心排出量综合征2例,无法停机2例,灌注肺1例。结论:成人TOF手术效果确切,患者术后生活质量明显改善。

关 键 词:法洛四联症  心脏外科手术  先天性心脏病  成人

Experience of 60 cases tetralogy of Fallot surgical treatment
HE Jigang , SHEN Zhenya , YU Yunshen , HUANG Haoyue , YE Wenxue , DING Yinglong. Experience of 60 cases tetralogy of Fallot surgical treatment[J]. Journal of Cardiovascular and Pulmonary Diseases, 2012, 31(3): 318-319
Authors:HE Jigang    SHEN Zhenya    YU Yunshen    HUANG Haoyue    YE Wenxue    DING Yinglong
Affiliation:Department of Cardiovascular Surgery,affiliated First Hospital,Suzhou University,Suzhou 215006,China
Abstract:Objective:Adult tetralogy of Fallot surgery treatment are Summarized.Methods:60 cases Adult tetralogy of Fallot surgical treatment.The group had right ventricular outflow tract obstruction.15 cases of pulmonary stenosis.4 cases of severe stenosis.Angioplasty not satisfied or not forming,transannular patch,2 cases of coronary artery abnormalities,(20-22) of bovine jugular vein conduit.Results: 5 cases postoperative death in this group,the mortality of 8.3%.2 cases died from severe low cardiac output syndrome.2 cases can not stop Cardiopulmonary bypass machine,1 case pulmonary perfusion.Conclusion: Adult tetralogy of Fallot surgery treatment exact effect,postoperative quality of life improved significantly.
Keywords:Tetralogy of Fallot  Heart surgery treatment  Corgenital heart disease  Adult
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