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室间隔缺损手术修复后再开胸:7例再次手术患者的经验(作者译)

[Reopening of ventricular septal defect after surgical repair: experience with 7 reoperated patients (author's transl)].

作者信息

Rabitti G, Giordano F, Massa E, Baruffi E, Chidichimo G

出版信息

G Ital Cardiol. 1976;6(7):1310-2.

PMID:1010241
Abstract

Reopening of ventricular septal defect after surgical repair was investigated -- from six months to five years after operation -- on 75 patients who had undergone closure of ventricular septal defect and on 65 patients who had undergone complete correction of tetralogy of Fallot. The complication appeared in 3 patients (4%) of the first group and in 4 (6%) of the second group, always early after the operation (from 24 hours to 2 months). All patients underwent reoperation - operative mortality rate was 66% in the first group and 25% in the second one. Operative mortality was higher in patients with cardiac and/or tricuspidal failure, also after prolonged preoperative medical treatment.

摘要

对75例接受室间隔缺损修补术的患者和65例接受法洛四联症完全矫正术的患者进行了研究,观察术后6个月至5年室间隔缺损修补术后的再开放情况。第一组3例患者(4%)出现并发症,第二组4例患者(6%)出现并发症,均在术后早期(术后24小时至2个月)出现。所有患者均接受了再次手术,第一组手术死亡率为66%,第二组为25%。即使经过长时间的术前药物治疗,有心脏和/或三尖瓣衰竭的患者手术死亡率仍较高。

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