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大动脉转位(作者在诊断方法与治疗方面的自身经验)(作者译)

[Transposition of great arteries (the authors' own experiences in diagnostic procedures and treatment) (author's transl)].

作者信息

Szelagowicz B, Rachocka J, Flejsierowicz Z, Luczak S

出版信息

Probl Med Wieku Rozwoj. 1975;5:251-4.

PMID:1223879
Abstract

In 18 months since the opening of the Paediatric Institute in Poznań, 20 cases of simple complete transposition of the great arteries were admitted to this hospital. The clinical material consisted of 19 neonates, 3-7 days old, and one 3-month-old infant. All children were in a severe condition, with deep central cyanosis, congestive heart failure and severe metabolic acidosis. Six of them died during the standard diagnostic procedures. Fourteen have been submitted to cardiac catheterization and angiocardiography, and in 13 ballon septostomy was performed. In two children surgical creation of an atrial septal defect was undertaken, in one case--6 months after a successful ballon septostomy. Twelve of the 14 children, in whom an atrial septal defect has been created by means of various methods, are alive and well.

摘要

在波兹南儿科研究所开业后的18个月里,该医院收治了20例单纯性大动脉完全转位病例。临床资料包括19名3 - 7日龄的新生儿和1名3个月大的婴儿。所有患儿病情严重,有严重的中心性发绀、充血性心力衰竭和严重的代谢性酸中毒。其中6例在标准诊断过程中死亡。14例接受了心导管检查和心血管造影,13例进行了球囊房间隔造口术。2例患儿进行了外科房间隔缺损造口术,其中1例是在成功进行球囊房间隔造口术6个月后进行的。通过各种方法制造了房间隔缺损的14例患儿中,有12例存活且状况良好。

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