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[法洛四联症根治术后影响心律失常发生率的因素]

[The factors influencing the incidence of heart rhythm disorders after the radical correction of the tetralogy of Fallot].

作者信息

Chepkaia I L, Bazyka O E, Zin'kovskiĭ M F, Stychinskiĭ A S, Lazorishinets V V

出版信息

Lik Sprava. 1992 Jul(7):24-7.

PMID:1280388
Abstract

The frequency and factors favouring the development of cardiac rhythm disorders were studied in 306 patients operated on radically for Fallot's tetralogy (follow-up: 6 months--29 years). This complication was found in 99 patients (32.3%). Most patients showed ventricular arrhythmia--62 (62.6%). Paroxysmal tachycardia was noted in 11 patients, atrio-ventricular block in 15 patients, combination of different arrhythmias in 11 patients. Risk factors were: inadequate correction of the malformation, age over 15 at the time of operation, approach through the right ventricle with plastic repair of the drainage tract, five years after surgery.

摘要

对306例接受法洛四联症根治手术的患者(随访时间为6个月至29年)的心律失常发生频率及相关因素进行了研究。99例患者(32.3%)出现了这种并发症。大多数患者表现为室性心律失常——62例(62.6%)。11例患者出现阵发性心动过速,15例患者出现房室传导阻滞,11例患者出现不同心律失常的组合。危险因素包括:畸形矫正不充分、手术时年龄超过15岁、经右心室途径并对引流道进行整形修复、术后五年。

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