首页|复合姑息手术促进复杂先天性心脏病肺血管发育临床研究

复合姑息手术促进复杂先天性心脏病肺血管发育临床研究

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目的 观察体肺分流联合Glenn手术治疗重度肺血管发育不良紫绀型复杂先天性心脏病(先心病)后肺血管发育隋况.方法 41例合并难治性肺动脉发育不良的紫绀型复杂先心病患儿,根据两侧肺动脉发育情况选择体肺分流、Glenn手术等姑息手术方式治疗,观察手术前、后肺动脉指数改变情况.结果 术后早期1例死于心跳骤停,其余患者随访6～72个月,手术后两侧平均肺动脉指数(32.60±11.70)较术前(21.81±8.66)明显增高(P＜0.05).结论 体肺分流联合Glenn手术等治疗可促进重度肺血管发育不良紫绀型复杂先心病患者双侧肺动脉的发育.
Combined palliative operation for improving the development of pulmonary arteries in intractable congenital heart disease
Objective To explore the development of pulmonary arteries after Blalock-Taussig shunt combined with Glenn procedures for cyanotic congenital heart disease with intractable hypoplasia of pulmonary arteries. Methods Forty-one patients with cyanotic congenital heart disease and intractable hypoplasia of pulmonary arteries underwent Blalock-Taussig shunt or Glenn procedure according to the morphology of right and left pulmonary arteries in every patient. Results There was one early death because of cardiac arrest. The other 40 patients were followed up for 6 to 72 months. The mean pulmonary arterial index was (32. 60±11. 70) after operation, significantly higher than that before operation (21. 81 + 8. 66) (P<0. 05). Conclusion Blalock-Taussig shunt combined with Glenn procedures can promote the development of pulmonary artery in cyanotic congenital heart disease with intractable hypoplasia of pulmonary arteries.

Congenital heart diseasehypoplasia of pulmonary arteriesBlalock-Taussig shuntGlenn procedure

朱耀斌、范祥明、李志强、苏俊武、张晶、李晓锋、刘爱军、王栋、刘迎龙

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首都医科大学附属北京安贞医院小儿心脏中心,北京市100029

先天性心脏病 肺动脉发育不良 体肺分流 Glenn手术

国家自然科学基金国家自然科学基金国家自然科学基金1北京市自然科学基金北京市自然科学基金北京市医药产品和技术重大项目培育研究首都市民健康项目培育

304717213067092881070055PXM2011_014226_07_00006071120467122056Z101107050210020Z111100074911001

2012

中华实用诊断与治疗杂志
中华预防医学会 河南省人民医院

中华实用诊断与治疗杂志

CSTPCD
影响因子：1.276
ISSN：1674-3474
年,卷(期)：2012.26(3)
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