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应用深度低温和循环停止技术对先天性心血管畸形进行手术治疗。180例连续病例分析。

Surgical management of congenital cardiovascular anomalies with the use of profound hypothermia and circulatory arrest. Analysis of 180 consecutive cases.

作者信息

Bailey L L, Takeuchi Y, Williams W G, Trusler G A, Mustard W T

出版信息

J Thorac Cardiovasc Surg. 1976 Apr;71(4):485-92.

PMID:1263531
Abstract

An initial series of 180 patients subjected to definitive repair of cardiac malformations during infancy is presented. The operations were performed with profound hypothermia and circulatory stasis. Statistics relating to the entire series of patients are presented and discussed, after which the results among eleven individual groups of patients categorized by type of cardiovascular lesion are analyzed. There was 113 survivors, representing an over-all mortality rate of 37 per cent. The mortality rate was highest among patients severely ill preoperatively and among those with complex malformations. Deaths were also more frequent among infants under 6 months of age and less than 5 kilograms in weight. Analysis shows a steady increase in percentage of patient survival over the years reported from December, 1967, to April, 1975.

摘要

本文介绍了最初一组180例在婴儿期接受心脏畸形根治修复手术的患者。手术在深度低温和循环停滞状态下进行。文中给出并讨论了与整个患者系列相关的统计数据,之后分析了按心血管病变类型分类的11个患者个体组的结果。共有113名幸存者,总体死亡率为37%。术前病情严重的患者以及患有复杂畸形的患者死亡率最高。6个月以下且体重不足5公斤的婴儿死亡情况也更为常见。分析表明,从1967年12月至1975年4月报告的这些年里,患者生存率百分比稳步上升。

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Surgical management of congenital cardiovascular anomalies with the use of profound hypothermia and circulatory arrest. Analysis of 180 consecutive cases.应用深度低温和循环停止技术对先天性心血管畸形进行手术治疗。180例连续病例分析。
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引用本文的文献

1
Congenital heart disease in the neonate: results of surgical treatment.新生儿先天性心脏病:外科治疗结果
Arch Dis Child. 1983 Feb;58(2):137-41. doi: 10.1136/adc.58.2.137.
2
Anaesthesia for aortic arch aneurysm repair: experience with 17 patients.主动脉弓动脉瘤修复术的麻醉:17例患者的经验
Can Anaesth Soc J. 1985 Jan;32(1):73-8. doi: 10.1007/BF03008543.
3
Open heart surgery in first year of life using profound hypothermia (core cooling) and circulatory arrest. Experience with 134 consecutive cases.出生后第一年采用深度低温(核心降温)和循环停止的心脏直视手术。134例连续病例的经验。
Br Heart J. 1979 Mar;41(3):294-300. doi: 10.1136/hrt.41.3.294.