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沙特阿拉伯利雅得部队医院(1984.8～1985.6)收治32(男16、女16)例中～重度肺动脉瓣狭窄(跨瓣压差≥50mmHg)患儿,年龄4.5±3.4(0.5～12)岁,体重14.86±6.6kg.术前均有4/6级收缩晚期高峰喷射性杂音,心电图大多示电轴右偏和右室肥厚.超声心动图和双平面电影摄影测定肺动脉瓣环直径为15±4(9～25)mm;其中2例分别为23和25mm.在静脉复合麻醉下,经皮穿刺一侧股静脉,将6～7号Goodale-Lubin导管送至左肺动脉,其中插入柔韧的200cm长0.038inch弯头交换导丝.拔除Goodale-Lubin导管,沿导丝插入8～9F气囊(直
Children aged 4.5 ± 3.4 (0.5-12 years) and 14.86 (0.5-12 years) in 32 (16 male and 16 female) patients with severe pulmonary valve stenosis (transvalvular pressure ≥50 mmHg) were admitted to the Riyadh Military Hospital in Saudi Arabia (1984.8 ~ 1985.6) ± 6.6kg. There were 4/6 systolic late peak squirting murmur before operation, most electrocardiogram showed right axial deviation and right ventricular hypertrophy.Echocardiography and biplane cinematography were used to measure the pulmonary valve annulus diameter of 15 ± 4 (9 ~ 25) mm, of which 2 cases were 23 and 25 mm, respectively.After intravenous anesthesia, one side of the femoral vein was percutaneously transplanted, the Goodale-Lubin catheters No. 6-7 were delivered to the left pulmonary artery with flexible 200cm long 0.038inch Elbow exchange guide wire removal Goodale-Lubin catheter, along the guide wire into the 8 ~ 9F balloon (straight