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一岁以内空间隔缺损患婴手术治疗的主要指证是大量左向右分流导致难治的充血性心力衰竭、反复肺炎或长期体重不增,很少是单由于肺动脉阻力增高。近年来,越来越多的报道主张室间隔缺损作一期修补,不赞成先作肺动脉环缩以后再修补。为了客观地比较这二种方法,本文分析1971年1月～1976年12月英国伦敦儿童医院室间隔缺损手术病例的资料。肺动脉环缩组(24例):8例(33.9％)术后仅短期改善,未能控制心力衰竭,其中1例再次环缩成功;6例解除环缩而再进行心内修补。1例同时进行
Within one year of the main evidence of surgical treatment of infants with septal defect infants is a large number of left to right shunt leading to refractory congestive heart failure, repeated pneumonia or long-term weight does not increase, rarely due to pulmonary artery resistance alone. In recent years, more and more reports advocate ventricular septal defect for a repair, do not agree to make the pulmonary artery systolic and then repair. In order to objectively compare the two methods, this paper analyzes the data of cases of ventricular septal defect surgery at London Children’s Hospital from January 1971 to December 1976. Systolic pulmonary arteries (24 cases): 8 cases (33.9%) only short-term improvement after surgery, failed to control heart failure, one case of successful ring contraction success; 1 case at the same time