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1例患单一冠状动脉的法四患儿于8个月时,因缺氧晕厥发作,在左侧用直径5mm 的聚四氟乙烯人造血管做改良的Blalock手术。病愈出院,术后14个月无生长延缓或缺氧表现。后因高热和菌血症再次住院,胸片示大叶性肺炎,血培养找到流感嗜血杆茵。经加强抗菌素治疗控制了肺炎和茵血症,但原有的连续性杂音消失,又发生缺氧性晕厥,荧光电影照相提示左肺动脉及过去Blalock吻合血管完全闭塞。为挽救生命,作者取右胸前外侧第四肋间切口进胸。从胸腔入口到第四助间隙水平容易分离出胸廓内动脉干。然后将右肺上叶
One patient with a single coronary artery in four French children at 8 months, due to onset of hypoxia syncope, on the left with 5mm diameter PTFE vascular prosthesis for improved Blalock surgery. He was discharged from the hospital and had no growth retardation or hypoxia after 14 months. After due to fever and bacteremia again hospitalized, chest radiograph showed lobular pneumonia, blood culture to find Haemophilus influenzae. Controlled pneumonia and hyperemia by intensive antibiotic therapy, but the original continuous murmur disappeared, hypoxia syncope occurred, the fluorescence film photography shows that the left pulmonary artery and the past Blalock anastomosis completely occluded blood vessels. To save lives, the author took the fourth intercostal incision lateral to the right chest into the chest. Thoracic artery from the thoracic inlet to the fourth clearance level easily separated. Then the right upper lobe