论文部分内容阅读
1993年1月至1995年5月应用心房内板障和全腔-肺动脉连接,右心房-肺动脉连接改良Fontan术式矫治小儿复杂先心病8例.病种包括三尖瓣闭锁3例,二尖瓣闭锁1例,右室双出口2例,单心室1例,矫正型大血管错位合并右室发育不良1例.手术死亡2例.其中1例系严重复杂心内畸形,属高危病例,应改做腔-肺分流术.我们认为全腔-肺动脉连接是较好的术式,严格掌握手术指征、合理选择手术方式、吻合口宽畅无阻及严密术后监护是提高手术疗效的几个要点.
From January 1993 to May 1995, 8 cases of children complicated congenital heart disease were treated with atrial fibrillation, total chamber-pulmonary artery connection and right atrium-pulmonary artery connection with improved Fontan technique, including 3 cases of tricuspid atresia, Flap occlusion in 1 case, right ventricular double outlet in 2 cases, single ventricle in 1 case, correction of large vessel dislocation with right ventricular dysplasia in 1 case .Operation of death in 2 cases .One case of severe complex heart deformity, is a high-risk cases, should Change the cavity - pulmonary shunt.We think that the whole cavity - pulmonary artery connection is a better surgical procedures, strict control of surgical indications, a reasonable choice of surgical methods, anastomotic smooth and postoperative monitoring is to improve the surgical treatment of several points .