论文部分内容阅读
本文报道法洛氏四联症54例完全纠治术后随访资料。结果:症状完全消失51例,好转2例,死亡1例。术后复查杂音22例,减弱13例,不变5例,增强4例,出现舒张期杂音17例。X线胸部复查19例,肺血均恢复正常或较术前增加,右室形态恢复正常12例,增大7例。二维超声心动图复查19例,肺动脉瓣及流出道仍有轻度狭窄各3例,残余室缺7例。心电图复查17例,完全性右束支传导阻滞11例,完全性房室传导阻滞1例。40例术后红细胞压积和血色素较术前均明显下降。以上说明手术治疗效果良好。
This article reports 54 cases of tetralogy of Fallot completely corrected postoperative follow-up data. Results: The symptoms disappeared completely in 51 cases, improved in 2 cases and died in 1 case. 22 cases of murmur after review, weakened in 13 cases, unchanged in 5 cases, enhanced in 4 cases, diastolic murmur in 17 cases. X-ray chest examination in 19 cases, pulmonary blood returned to normal or increased compared with preoperative, right ventricular morphology returned to normal in 12 cases, an increase of 7 cases. Two-dimensional echocardiography review of 19 cases, pulmonary valve and outflow tract still mild stenosis in 3 cases, 7 cases of residual space. ECG in 17 cases, complete right bundle branch block in 11 cases, complete atrioventricular block in 1 case. 40 cases of postoperative hematocrit and hemoglobin were significantly decreased compared with preoperative. The above shows that the effect of surgical treatment is good.