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目的对比分析左心室发育不良型法洛四联症(tetralogy of fallot,TOF)一期手术和两期手术的临床效果。方法 95例左心室发育不良型TOF患者分为一期手术组(50例)和两期手术组(45例),一期手术组采用新型左心室扩大技术对左心室发育不良型TOF行根治术;两期手术组第一次行体-肺动脉分流术,第二次行根治术。结果 2组死亡率无差异,一期手术组手术手术时间短、住院时间短、住院费用低、切口愈合不良发生率低、术后身高体重增长快,低心排综合症(low cardiac output syndrome,LCOS)肾功能不全发生率高。结论一期手术治疗左心室发育不良型TOF总体效果优于两期手术,但要注意LCOS的防治及肾功能的保护。
Objective To compare and analyze the clinical effects of primary left ventricular dysfunction tetralogy of fallot (TOF) and two stages of surgery. Methods 95 cases of left ventricular dysplastic TOF patients were divided into the first operation group (50 cases) and the second operation group (45 cases). In the first operation group, the left ventricular dysplasia ; The first operation of two surgical groups - pulmonary shunt, the second radical surgery. Results There was no difference in mortality between the two groups. In the first operation group, the operation time was short, the hospitalization time was short, the hospitalization cost was low, the incision healing rate was low, the postoperative height and weight gain was fast, low cardiac output syndrome LCOS) High incidence of renal insufficiency. Conclusions The primary outcome of primary surgery for left ventricular dysplastic TOF is better than that of two phases of surgery. However, LCOS should be prevented and the renal function protected.