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find Keyword "完全性房室隔缺损" 3 results
  • 法洛四联症合并完全性房室隔缺损的外科治疗

    目的 探讨法洛四联症合并完全性房室隔缺损外科治疗经验。 方法 回顾性分析9例患者的临床资料,其中完全性房室隔缺损A型3例,C型6例;均有右心室流出道漏斗部狭窄,6例伴明显的肺动脉瓣及瓣环狭窄。术前共同瓣轻度反流7例,中度反流2例。 1例行中央体肺分流术,1例行心外管道全腔静脉-肺动脉吻合术,其余7例均行一期根治手术,其中跨肺动脉瓣环5例。 结果 9例患者死亡3例;1例婴儿术后2d脱机,后因低氧再次插管呼吸机辅助呼吸40d脱机,5例在术后1d脱机,呼吸循环功能良好,顺利康复出院。随访1个月~4年,4例有轻度二尖瓣反流,无残留心脏畸形。 结论 法洛四联症合并完全性房室隔缺损手术的关键在于确切修补室间隔缺损、完善修复二尖瓣、防止左心室流出道狭窄及Ⅲ°房室传导阻滞。

    Release date:2016-08-30 06:13 Export PDF Favorites Scan
  • 完全性房室隔缺损的外科治疗

    目的 总结完全性房室隔缺损的手术方法和临床经验,以提高手术疗效。方法 27例完全性房室隔缺损患者,年龄88天~24岁。合并右心室双出口、肺动脉瓣狭窄和镜像右位心1例,动脉导管未闭1例,继发孔型房间隔缺损1例,左上腔静脉残留2例,重度肺动脉高压13例,中度肺动脉高压14例。手术均采用双补片法修补,室间隔缺损采用Gore-Tex补片修补,房间隔缺损采用自体心包补片修补。结果 术后早期死亡2例,其中1例死于脑出血,1例死于右侧心力衰竭。所有患者术后均为窦性心律,无完全性房室传导阻滞。随访23例,随访时间2个月~10年,均为窦性心律,无死亡。复查心脏彩色超声心动图提示:二尖瓣轻度反流6例,中度反流2例,心功能均较术前增强。结论 完全性房室隔缺损患者早期行手术治疗,防止肺血管阻塞性病变的发生、发展,术中注意防止左心室流出道狭窄,矫治二尖瓣反流是提高手术疗效的关键。

    Release date:2016-08-30 06:23 Export PDF Favorites Scan
  • Comparision of Two Techniques Used in Complete Atrioventricular Septal Defects: A Systematic Review and Meta-analysis

    ObjectiveTo systemically evaluate the advantage of simplified single-patch technique used in complete atrioventricular septal defects. MethodsA systematic literature search was conducted in PubMed, Annual Reviews, CNKI, Wanfang Data Libraries and Read Show Academic Search, and the retrieval date was March 2016. The literatures were screened and assessed according to inclusion criteria, and analyzed by meta-analysis STATA 11.0 software. The results were represented in standard mean difference (SMD), risk ratio (RR) and 95% confidence interval (CI). ResultsCompared with the two-patch technique group, in the simplified single-patch technique group cardiopulmonary bypass time, aortic clamping time, the length of hospital stay and the ICU stay as well as the mortality rate were satistically less (SMD=-0.93, 95% CI -1.24, -0.61, P=0.000; SMD=-1.02, 95% CI -1.39, -0.66, P=0.000; SMD=-0.10, 95% CI -0.43, -0.23, P=0.035; SMD=-0.12, 95% CI -0.29, -0.05, P=0.555; RR=0.93, 95% CI 0.66, 1.30, P=0.031, respectively). While there was no statistical difference in the reoperation rate (RR=0.87, 95% CI 0.65, 1.17, P=0.398). ConclusionSimplified single-patch technique has dominant superiority in operation time, ICU stay, mortality rate, and correlative complications induced by extracorporeal circulation. However, difference in reoperation rate is not significant.

    Release date:2016-12-06 05:27 Export PDF Favorites Scan
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