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多发性室间隔缺损(VSD)没有标准的诊断和手术方式,且常伴有其它心脏畸形,故手术死亡率较高。手术通常经右房与右室和/或左室联合切口,效果基本满意,但缺乏远期随访报告。本文作者认为左室切口严重损害心功能,应尽量避免。材料与方法 1980年1月至1991年4月,248例多发性VSD中130例为单纯性,分析如下:男66例,女64例,手术年龄18±14个月,体重7.0±4.4kg,61例年龄小于12个月。51例曾行肺动脉环束术,10例伴肺动脉瓣狭窄。其余69例伴严重肺动脉高压,肺
Multiple ventricular septal defect (VSD) is not the standard diagnostic and surgical methods, and often accompanied by other cardiac malformations, so the higher operative mortality. Surgery is usually performed through the right atrium, the right ventricle and / or the left ventricle. The results are basically satisfactory, but there is a lack of long-term follow-up reports. The author of this article that left ventricular incision severely damaged heart function, should be avoided. Materials and Methods From January 1980 to April 1991, 130 of 248 patients with multiple VSD were simple and analyzed as follows: 66 males and 64 females, the operative age was 18 ± 14 months, the body weight was 7.0 ± 4.4 kg, 61 cases were less than 12 months old. Fifty-one had pulmonary circumflexomy and 10 had pulmonary valve stenosis. The remaining 69 patients with severe pulmonary hypertension, lung