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成人法洛四联症手术矫治疗效分析

毕生辉 王显悦 董文鹏 童光 王晓武 马涛 张卫达

心血管外科杂志(电子版)Issue(3):127-129,3.
心血管外科杂志(电子版)Issue(3):127-129,3.

成人法洛四联症手术矫治疗效分析

Correction of tetralogy of Fallot in 252 adult patients

毕生辉 1王显悦 1董文鹏 1童光 1王晓武 1马涛 1张卫达1

作者信息

  • 1. 510010 广州军区广州总医院心脏外科
  • 折叠

摘要

Abstract

Objective To evaluate the early results of correction of tetralogy of Fallot in adult patients . Methods From January 2007 to May 2014,252 patients with tetralogy of Fallot,who were older than 14 years of age,underwent complete surgical repair at our institution .There were 143 male and 109 female patients in the study.Results The mean operating time,cardiopulmonary bypass time and aortic cross clamp time were (215.2 ± 38.3)min,(99.4 ±35.6)min and(50.5 ±18.2)min respectively.The ratio of the right ventricular pressure to the aorta pressure measured just after repair was 0.4 ±0.2.All the gradients across the right ventricular outflow tract were less than 30 mm Hg.The mean postoperative mechanic ventilation time was (18.6 ±2.9)h.The mean hospital stay after repair was(13.4 ±2.4)d.There were 2 operating deaths with the operative mortality being 0.79%.Both of the causes of deaths were low output syndrome resulting in multiple organ failure .Conclusions Complete repair of tetralogy of Fallot in adults is feasible with acceptable early mortality .

关键词

心脏缺损,先天性/法洛四联症/外科手术/成人

Key words

Heart defects,congenital/Tetralogy of Fallot/Surgical procedures,operative/Adult

分类

医药卫生

引用本文复制引用

毕生辉,王显悦,董文鹏,童光,王晓武,马涛,张卫达..成人法洛四联症手术矫治疗效分析[J].心血管外科杂志(电子版),2014,(3):127-129,3.

基金项目

天普研究基金 ()

心血管外科杂志(电子版)

2095-2260

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