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作者报告1963年至1990年间,为17例18岁以下梗阻性肥厚型心肌病患儿(HOCM)施行左室室间隔肌切除或切开术。初诊及手术年龄分别为11.9±1.3岁及14.8±0.7岁。主要手术指征是左心衰或猝死史。术前室间隔厚度23.2±1.3mm。 术中股动脉插管中低温(26～30℃)心肺转流,冷晶体停跳液间断顺灌。切开主动脉
The authors report that from 1963 to 1990, 17 patients under 18 years of age with obstructive hypertrophic cardiomyopathy (HOCM) underwent left ventricular septal muscle resection or incision. The initial diagnosis and operative age were 11.9 ± 1.3 years and 14.8 ± 0.7 years respectively. The main surgical indications are history of left heart failure or sudden death. Preoperative interventricular septum thickness of 23.2 ± 1.3mm. Intraoperative femoral artery catheterization in the cold (26 ~ 30 ℃) cardiopulmonary bypass, cold crystal arrest fluid discontinuous Shun irrigation. Cut the aorta