| 成人法洛四联症根治术10例分析 |
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【论文摘要】目的总结10例成人TOF根治术的临床经验。方法采用带垫片平行褥式间断缝合法修补室间隔缺损。使用经戊二醛处理的牛心包修补缺损和重建右室流出道。9例需要跨瓣环补片，1例采用右室流出道补片。结果10例均存活，术后心功能恢复良好。3例发生术后低心排血量综合征，应用肾上腺素效果良好。结论室间隔缺损修补完善和充分疏通右心室流出道是TOF根治术成败的关键。肾上腺素对术后低心排血量综合征有较好疗效。
【论文关键词】法洛四联症;低心排综合征;肾上腺素
Abstract:Aim To summarize clinical experiences of radical correction of tetralogy of Fallot in 10 adult patients．Methods The inter-rupted mattress suture technique was used to close the ventricular septal defect(VSD)．Glutaraldehyde-treated bovine pericardium wasused in both closure of VSDs and reconstructions of right ventricular outflow tract(RVOT)．9 case required thansannular patch，RVOTpatch was used in 1 case．Results all patients are alive&[1] [2] [3] [4] [5] [6] [7] 下一页 |
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