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对于大动脉错位病人的治疗有各种外科方法。作者在44个月期间采用改良的Shumacker方法治疗16例病儿,本文介绍改良的Shumacker手术操作以及手术后临床、X线检查和心血管造影的发现。病例概况:16例年龄为8天到30个月的大动脉错位患儿。7例伴有显著的心内畸形。除1例年龄不到1个月的病儿外,所有的病儿最初均经插管检查和施行气囊房间隔造孔术。1例伴有异常的肺静脉联结。3例病儿需要施行Blalock-Hanlon房间隔切除术。患儿在接受改良Shumacker氏大动脉错位修补术后在门诊进行随访评价。9例病儿在修补后的1至34个月,作了心导管检查。
There are various surgical methods for the treatment of patients with major arterial malposition. The authors used a modified Shumacker method to treat 16 children over a 44-month period. This article presents the findings of a modified Shumacker procedure and postoperative clinical, radiographic, and angiographic findings. Case overview: 16 patients aged 8 days to 30 months with major arterial dislocation in children. Seven patients had a significant intracardiac deformity. Except for 1 case of sick children less than 1 month old, all the sick children were initially intubated and underwent balloon atrial septal perforation. One patient had abnormal pulmonary venous connection. Three patients required Blalock-Hanlon atrial septum resection. Children were followed up at outpatient setting after receiving modified Shumacker’s aorta malposition. 9 cases of sick children in the repair after 1 to 34 months, made a cardiac catheterization.