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|本期目录/Table of Contents|

完全性肺静脉异位引流的外科治疗(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第6期
页码:
501-503
栏目:
临床研究
出版日期:
2002-11-01

文章信息/Info

Title:
Surgical management of total anomonous pulmonary venous drainage
作者:
汪 钢; 王伟宪; 俞世强; 陈文生; 刘维永; 刘建平; 蔡振杰; 易定华
第四军医大学西京医院心血管外科, 陕西西安 710033
Author(s):
WANG Gang; WANG Wei-xian; YU Shi-qiang; CHEN Wen-sheng; LIU Wei-yong; LIU Jian-ping; CAI Zhen-jie; YI Ding-hua
Department of Cardiovascular Surgery, Xijing Hospital,Fourth Military Medical University,Xi' an, Shaanxi 710032,China
关键词:
完全性肺静脉异位引流; 外科治疗
Keywords:
total anomonous pulmonary venous drainage;  surgical treatment
分类号:
R654.1
DOI:
-
文献标识码:
A
摘要:
目的 探讨完全性肺静脉异位引流(TAPVD)的手术方法,评价其效果。方法 本组患者29例,均在体外循环下行矫治术。心上型采用心房横断法,应用补片扩大左房;心内型及混合型采用扩大房间隔缺损,用大补片将异位引流的肺静脉隔至左房;混合型上腔静脉用心包补片加宽。结果 全组无手术死亡,出院时心功能1级。随访(22/29例)3~15年,心功能均正常。结论 按TAPVD的类型采用不同的手术方法。对TAPVD的外科治疗只要诊断明确、手术方法得当、术后严密监护可获良好的治疗效果。
Abstract:
AIM To investigate the surgical treatment of total anomonous pulmonary venous drainage(TAPVD).METHODS Twenty-nine cases of TAPVD were reviewed in this report.The corrections were performed under cardiopulmonary bypass(CPB). Left atria were enlarged with patches in supracardiac TAPVD. The atrial septal defects were enlarged in cardiac TAPVD. In mixed forms of TAPVD the atrial septal defects were enlarged and common veins were boarded to the left atria with large patches.The superior cava veins were augmented with a piece of peri-cardium. RESULTS There was no operative death and all patients were discharged eventfully.Following up(22 cases) of 3 to 15 years showed normal cardiac function in the patients.CONCLUSION The operative methods of TAPVD depend on their cardiac deformation. Correct diagnosis, proper surgery and good post-operative care can ensure the satisfactory theapeutic effects.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2001-08-22.
更新日期/Last Update: 2002-11-01