摘要
Abstract
Objective:To investigate the anatomy,typing and individual operation method of total anomalous pulmonary venous connection with obstruction type.Methods:50 children with total anomalous pulmonary venous drainage were selected from June 2009 to November 2013,in which,there were 26 cases of the center type,19 cases of intracardiac type,3 cases of heart type,2 cases of mixed type with up and inside of the heart symmetric mixed.33 cases of obstruction type were taken emergency operation.All the patients underwent chest X-ray electrocardiogram and ultrasound beckoning graph examination before the operation,part of the cases were taken 64 rows of heart CT enhanced mri.Operation:the typical heart type:left atrium pathway anastomosis were generally used,different subtypes using warden operation or stuless anastomosis;intracardiac type:suturing pericardium to isolate the pulmonary vein into the left atrium and pulmonary vein,and expand pulmonary vein opening when necessary.The infracardiac type used on the right side of the heart under right way;mixed type selected procedure according to the types.Results:50 cases were treated with operation,in which 45 cases were cured,the cure rate was 90%,3 cases died in the hospital,and the mortality was 6%,the causes of death were anastomotic bleeding,low cardiac output syndrome,pulmonary hypertension crisis,pneumonia and respiratory failure,multiple organ failure.2 cases with immerse expense,pneumonia is not cured and discharged from hospital.In 1 cases with left middle cerebral artery embolism transferred to the physiatry department to continue treatment.Conclusion:The blocking rate of total anomalous pulmonary venous connection was high,its very common in the emergency operation,pulmonary vein anatomy with more complex subtype,and always variated,correctly understanding of its subtypes and making individualized operation schemes,can benifit to improving the therapeutic effect.关键词
完全性肺静脉异位引流/手术治疗/经验总结Key words
Total anomalous pulmonary venous connection/Operation treatment/Summary the experience
