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为探讨婴儿法洛四联症 (以下称四联症 )根治术的可行性和临床意义 ,回顾性分析1998年11月～2001年7月由同一手术组连续施行78例四联症根治术的治疗效果 ,其中A组22例 ,年龄≤1岁 ;B组56例 ,年龄>1岁 ,比较两组术后临床转归的差别。结果A组术后发生低心排综合征1例 ,呼吸功能不全3例 ,肺出血2例 ,治愈出院 ,无早期死亡 ;B组术后发生低心排综合征2例 ,呼吸功能不全1例 ,肺出血3例 ,慢性心功能不全1例 ,死亡2例 (3.6 % )。提示婴儿四联症根治术是可行的 ,早期纠正解剖畸形 ,建立正常的血流动力学有利于左、右心室和全肺血管的正常发育
In order to explore the feasibility and clinical significance of the curative effect of tetralogy of Fallot in infants (hereinafter referred to as “quadruple disease”), retrospective analysis of 78 cases of quadruple radical operation performed in the same operation group from November 1998 to July 2001 Treatment effect, including A group of 22 patients, age ≤ 1 year; B group 56 patients, age> 1 year old, the difference between the two groups after the clinical outcome. Results In group A, low cardiac output syndrome occurred in 1 case, respiratory insufficiency in 3 cases, pulmonary hemorrhage in 2 cases, cured and discharged without early death. In group B, low cardiac output syndrome occurred in 2 cases and respiratory insufficiency in 1 case , Pulmonary hemorrhage in 3 cases, chronic heart failure in 1 case and 2 deaths (3.6%). Prompt infant tetanic radical surgery is feasible, early correction of anatomical malformations, the establishment of normal hemodynamics conducive to the left and right ventricular and pulmonary vascular development