中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

先天性左心室流出道梗阻的手术治疗

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目的 通过我们中心近年来先天性左心室流出道梗阻患儿的外科治疗经验,总结手术方式及治疗效果。 方法 回顾性分析 2011 年 11 月至 2017 年 12 月我院心血管外科共收治先天性左心室流出道梗阻患儿 58 例的临床资料。男 37 例、女 21 例,年龄 2 个月至 16 个月(8.49 ± 3.21)岁,体重 2.70~56.00(31.00±6.72)kg。所有患儿均在全麻低温体外循环下行外科矫治术。 结果 所有患儿顺利出院,随访 6~72 个月。患儿术后心功能良好,接受主动脉瓣置换的患儿人工瓣功能正常,无瓣周漏、传导障碍及明显的出凝血并发症。 结论 先天性左心室流出道梗阻的外科矫治效果良好。选择合适的手术方式、完全有效的解除流出道梗阻及坚持长期随访等,往往能够取得满意的外科治疗效果,促进患儿术后康复。

关键词: 先天性心脏病; 体外循环; 左心室流出道梗阻; 手术治疗

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