| 完全性肺静脉异位引流的外科治疗 |
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| 引用本文： | 王小庆,刘志勇,蒋佩明,张郁林,王冲,周利荣,朱蓓莉. 完全性肺静脉异位引流的外科治疗[J]. 现代医学, 2004, 32(5): 315-317 |
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| 作者姓名： | 王小庆 刘志勇 蒋佩明 张郁林 王冲 周利荣 朱蓓莉 |
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| 作者单位： | 1. 南通瑞慈医院,心胸外科,江苏,南通,226010
2. 东南大学附属中大医院,心胸外科,江苏,南京,210009 |
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| 摘 要： | 目的 探讨完全性肺静脉异位引流 (TAPVD)的手术方法及效果。方法 2 2例TAPVD患者 ,其中心上型 16例 ,采用心房横断 (14例 )和心上吻合 (2例 ) ,行左房 共同静脉吻合 ;心内型 4例 ,将房间隔缺损扩大 ,应用补片将异位引流的肺静脉隔至左房 ;混合型 2例 ,上腔静脉用心包补片加宽。结果 2 0例痊愈 ,2例死亡。痊愈患者均获得随访 ,随访时间 8个月～ 6年 ,心功能均正常。结论 TAPVD患者一旦诊断明确 ,应及早手术 ,选择适当的手术方法可获良好的治疗效果。
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| 关 键 词： | 完全性肺静脉异位引流 先天性心脏病 外科治疗 |
| 文章编号： | 1671-7562(2004)05-0315-03 |
| 修稿时间： | 2004-04-14 |
Surgical treatment of total anomonous pulmonary venous drainage |
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| WANG Xiao-qing,LIU Zhi-yong,JIANG Pei-ming,ZHANG Yu-lin,WANG Chong,ZHOU Li-rong,ZHU Bei-li. Surgical treatment of total anomonous pulmonary venous drainage[J]. Modern Medical JOurnal, 2004, 32(5): 315-317 |
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| Authors: | WANG Xiao-qing LIU Zhi-yong JIANG Pei-ming ZHANG Yu-lin WANG Chong ZHOU Li-rong ZHU Bei-li |
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| Affiliation: | WANG Xiao-qing1,LIU Zhi-yong2,JIANG Pei-ming1,ZHANG Yu-lin1,WANG Chong1,ZHOU Li-rong1,ZHU Bei-li1 |
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| Abstract: | Objective To summarize the surgical treatment and its effect on total anomonous pulmonary venous drainage(TAPVD).Methods Twenty-two patients were included in the study.Sixteen patients were the supracardiac,four patients the intracardiac and tow the mixed type. In supracardica group, fourteen underwent transatrial method and tow with supracardiac method. Patients of intracardiac type underwent patch closure of the atrial septal defect.A pericardial patch was used to widen the superior vena cava in the mixed type patients. Results Twenty patients had uneventful postoperative recovery, and two died. Conclusion Early diagnosis and operate are very important in TAPVD patients.An appropriate choice of surgical method can ensure a satisfactory outcome. |
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| Keywords: | total anomonous pulmonary venous drainage surgical treatment |
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