论文部分内容阅读
目的 :探讨婴幼儿法乐氏四联症的临床特点及手术适应证和术后处理方法。方法 :35例病人均在全麻低温体外循环下行法乐氏四联症根治术。结果 :1例死亡。术后低心排者 4例 ,灌注肺 3例 ,肺不张 3例 ,胸腔积液 3例。结论 :婴幼儿法乐氏四联症外科治疗同成人比较有其自身特殊性 ,应注意正确补充血容量 ,加强心功能维持 ,调节酸碱平衡。患儿肺动脉发育情况及其左心功能是影响手术疗效的最主要因素。
Objective: To investigate the clinical features, surgical indications and postoperative management of tetralogy of Fallot in infants and young children. Methods: 35 patients underwent general anesthesia hypothermia cardiopulmonary bypass with tetralogy of Fallot. Results: 1 patient died. 4 cases of low cardiac output after surgery, perfusion lung in 3 cases, 3 cases of atelectasis, pleural effusion in 3 cases. Conclusion: The tetralogy of Fallot (Tetralogy of Fallot) infantile surgery has its own particularity compared with adults. It should pay attention to correct blood volume, strengthen the maintenance of cardiac function and regulate acid-base balance. The development of pulmonary artery in children with left ventricular function is the most important factor affecting the efficacy of surgery.