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目的 :探讨婴幼儿法乐四联症根治的可能性及其优点 ;分析影响根治术疗效的因素。 方法 :5 1例婴幼儿法乐四联症根治术按照固定的方法和标准完成手术 ;加强围术期管理。 结果 :1例死亡 ,死亡率 1.9%。低心输出量综合征 10例、喉头水肿 3例、肺部感染 2 3例。 46例随访 10个月～ 3年。残余心室间隔缺损 (直径 2～ 5 mm) 5例。肺动脉瓣反流 18例。无残余右心室流出道狭窄。 44例心功能 (NYHA)为 ～ 级。身体发育和活动能力与正常同年龄婴幼儿相近。 结论 :病例选择适宜 ,畸形矫正满意 ,婴幼儿法乐四联症根治术可取得良好的手术效果。
Objective: To explore the possibility and advantages of tetralogy of Fallot in infants and young children. To analyze the factors influencing the curative effect of radical surgery. Methods: 5 cases of infantile tetralogy of Fallot radical surgery in accordance with the fixed methods and standards to complete the operation; to strengthen perioperative management. Results: One patient died and the mortality rate was 1.9%. Low cardiac output syndrome in 10 cases, laryngeal edema in 3 cases, 23 cases of pulmonary infection. 46 cases were followed up for 10 months to 3 years. Residual ventricular septal defect (diameter 2 ~ 5 mm) in 5 cases. Pulmonary valve regurgitation in 18 cases. No residual right ventricular outflow tract stenosis. 44 cases of cardiac function (NYHA) is ~ grade. Physical development and activity similar to normal infants and young children at the same age. Conclusion: The choice of cases, satisfactory correction of deformity, tetralogy of Fallot and infant radical surgery can achieve good surgical results.