| 室间隔完整型大动脉错位的手术治疗 |
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| 引用本文： | Xu Z,Ding W,Su Z. 室间隔完整型大动脉错位的手术治疗[J]. 中华外科杂志, 2002, 40(8): 574-576 |
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| 作者姓名： | Xu Z Ding W Su Z |
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| 作者单位： | 200127,上海第二医科大学附属新华医院上海儿童医学中心心胸外科 |
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| 摘 要： | 目的 探讨室间隔完整型大动脉错位 (TGA/IVS)的手术治疗方法。 方法 回顾性总结 1999年 8月～ 2 0 0 1年 12月 ,手术纠治TGA/IVS 12例的临床资料。 3例年龄 >2个月的患儿行Senning手术 ,9例年龄 <1个月的采用大动脉转换术 (switch)。 结果 本组采用switch手术治疗者 1例死亡 ,死亡原因为单根冠状动脉。 11例存活患者 ,随访 2个月～ 2年 ,平均 (12± 7)个月 ,效果良好。结论 室间隔完整型大动脉错位必须早期做出诊断 ,以便及时得到治疗。switch手术的最佳手术年龄应在婴儿 2周内 ,最好不超过 1个月
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| 关 键 词： | 大血管错位 心血管外科手术方法 冠状动脉疾病 治疗 |
| 修稿时间： | 2001-10-16 |
Surgical repair of transposition of great arteries with intact ventricular septum |
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| Xu Zhiwei,Ding Wenxiang,Su Zhaokang. Surgical repair of transposition of great arteries with intact ventricular septum[J]. Chinese Journal of Surgery, 2002, 40(8): 574-576 |
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| Authors: | Xu Zhiwei Ding Wenxiang Su Zhaokang |
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| Affiliation: | Department of Thoracic-Cardiac Surgery, Shanghai Children's Medical Center, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200127, China. |
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| Abstract: | Objective To study the surgical management of transposition of the great arteries with intact ventricular septum (TGA/IVS). Methods Twelve patients with TGA/IVS were underwent repair during August 1999-December 2001. Senning procedure was used for age more than 2 months and switch operation for less than 1 month. Results Three patients with TGA/IVS underwent repair by Senning procedure. Nine patients received switch operation and one died of single coronary artery. All patients were followed up about 2 months to 2 years and the result was satisfactory. Conclusions TGA/IVS must be diagnosed and repaired as early as possible. The best age for switch operation is less than 2 weeks or at best less than 1 month. |
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| Keywords: | Transposition of great vessels Cardiovascular surgical procedures Coronary disease |
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