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先天性心脏病外科手术评估系统研究进展

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先天性心脏病的外科手术难易程度差异较大,为确保手术安全性和最大化患者的手术获益,既往已有多种先天性心脏病手术难度评分系统,用于评估不同难易程度的外科手术风险.心脏解剖畸形的完全矫治是常见的手术难题,目前研究表明矫治效果与患者围手术期死亡率和术后并发症的发生密切相关,提出了关于心脏解剖畸形矫治程度的新型评分体系.因此,本文对已有的文献进行综述,探讨先天性心脏病外科手术的不同评估方法,从而优化先天性心脏病外科手术评估系统,提高手术质量,改善患者预后.
Research progress on surgical evaluation system for congenital heart disease
The surgical difficulty of congenital heart disease varies greatly.To ensure the safety of surgery and maximize the benefits of patients,various congenital heart surgery scoring systems have been used to evaluate the risk of different complex congenital cardiac operations.However,the complete correction of cardiac anatomical malformations is a common surgical challenge.Recent studies have shown that the correction is closely related to perioperative mortality and postoperative complications,and a new scoring system for the degree of cardiac anatomical malformations has been proposed.Therefore,this review summarizes the literature and discusses different evaluative methods of congenital heart surgery,aiming to optimize the surgical evaluation system for congenital heart surgery,enhance the quality of surgery and improve the prognosis of patients.

Congenital heart diseasesurgical evaluation systemsurgical performanceresidual lesionreview

王恩平、罗书画、安琪

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四川大学华西医院心脏大血管外科(成都 610041)

先天性心脏病 外科手术评估系统 手术技术表现 残余畸形 综述

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(4)
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