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目的 总结完全型房室间隔缺损外科治疗的经验。方法 16例完全性房室间隔缺损患儿,平均年龄(1.2±0 .9)岁,平均体重(6.8±3 )kg。其中10例伴有Down综合征,1例合并法洛四联征。术前超声心动图显示房室瓣轻度反流12例,中度反流3例,重度反流1例。行单片法修补10例,双片法修补6例。结果 术后恢复顺利,无围手术期死亡。除1例患儿于出院4个月后因肺部感染合并心衰死亡外,余随访0 .3～5 .2年,经超声心动图检查显示房室瓣功能良好,未见明显反流。结论 完全型房室间隔缺损患者早诊断,早手术,可获良好疗效。
Objective To summarize the experience of surgical treatment of complete atrioventricular septal defect. Methods Sixteen children with complete atrioventricular septal defect had an average age of 1.2 ± 0.9 years and a mean body weight of 6.8 ± 3 kg. Among them, 10 cases had Down syndrome and 1 case had tetralogy of Fallot. Preoperative echocardiography showed atrioventricular valve mild reflux in 12 cases, moderate reflux in 3 cases, severe reflux in 1 case. Line repair monotherapy in 10 cases, two-piece repair in 6 cases. Results postoperative recovery was successful, no perioperative deaths. Except for 1 patient who died of pulmonary infection and heart failure 4 months after discharge, more than 0.3 to 5.2 years follow-up showed that atrioventricular valve function was good and no obvious reflux was found by echocardiography. Conclusion Complete atrioventricular septal defect in patients with early diagnosis and early surgery, can be a good effect.