论文部分内容阅读
目的探讨非体外循环双向Glenn术治疗复杂先天性心脏病的手术适应证、外科技巧、术后处理和疗效。方法 2004-01-2009-01非体外循环双向Glenn术治疗复杂先天性心脏病43例。结果全组无死亡。吸氧浓度为0.40时,术后经皮血氧饱和度升高至0.93±0.14,无恶性心律失常、血栓形成和脑部并发症发生。结论非体外循环双向Glenn术是一种安全、可靠的手术方式,该术式简便易行、效果良好、手术时间短、心脏及肺部并发症少、术后恢复平稳。
Objective To investigate the surgical indications, surgical techniques, postoperative management and curative effect of off-pump bi-directional Glenn surgery for complex congenital heart disease. Methods Forty - three cases of complex congenital heart disease treated with off - pump bidirectional Glenn surgery. Results no death in the whole group. Oxygen concentration of 0.40, postoperative percutaneous oxygen saturation increased to 0.93 ± 0.14, no malignant arrhythmia, thrombosis and brain complications. Conclusion Non-cardiopulmonary bypass bi-directional Glenn operation is a safe and reliable operation method. The operation method is simple and easy, the effect is good, the operation time is short, the complications of heart and lung are few and the postoperative recovery is stable.