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目的总结小儿主动脉缩窄的诊断方法和外科治疗经验。方法13例小儿主动脉缩窄患儿，年龄47天～12岁，体重4．5～27kg。9例行Gore－Tex补片扩大成形术；2例行缩窄段切除，端端吻合术；2例行左锁骨下动脉翻转降主动脉成形术。其中1例47天龄合并室间隔缺损及肺动脉高压的小婴儿一期同时行心内畸形矫治术。结果全部手术顺利，无手术死亡和术后并发症，随访疗效均满意。结论上下肢血压异常是本病的特征性表现；术式的选择宜因病变类型和术者的经验而异；多数患儿均可在常温下手术。
Objective To summarize the diagnosis of pediatric aortic constriction and surgical treatment experience. Methods Thirteen children with pediatric aortic constriction, aged 47 days to 12 years old, weighing 4.5 ~ 27kg. Nine patients underwent Gore-Tex patch augmentation angioplasty, two patients underwent narrowing and anastomosis, and two underwent transposition of the left subclavian artery to descend aortoplasty. One case of 47-day-old with ventricular septal defect and pulmonary hypertension in infants at the same time correction of malformations. Results All operations were successful, no operative death and postoperative complications, follow-up efficacy were satisfactory. Conclusion The abnormal blood pressure in upper and lower extremities is the characteristic manifestation of this disease. The choice of surgical procedure should be based on the type of lesion and the experience of the surgeon. Most children can be operated at room temperature.