法洛四联症的围术期处理

    Perioperative management for tetralogy of Fallot

    • 摘要: 目的: 总结法洛四联症矫正手术围术期主要并发症的发生率及处理经验。方法: 对17例法洛四联症患者的一般临床资料、术前心功能状态和手术结果进行分析。结果: 无手术死亡。术后并发低心排出量综合征3例,呼吸衰竭2例,灌注肺及心包内出血各1例。随访3~6个月,无晚期死亡及并发症发生。结论: 熟练掌握法洛四联症矫正手术技术,合理选择适应证,及早发现和正确处理并发症是提高疗效、降低围术期死亡率的关键。

       

      Abstract: Objective: To review the perioperative management for tetralogy of fallot(TOF).Methods: Seventeen patients with tetralogy of fallot received surgical treatments,and the clinical data,preoperative heart function and surgical results were reviewed and analysed.Results: There was no early or late death,and no myocardical infarction.The follow-up ranged from 3 months to half a year.No residual leakage or obstruction of right ventricle outflow tract occurred.Conclusions: Proper selection of indications,early detection and appropriate management of postoperative complication are essential to the surgical outcome.

       

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