Zdebska E, Malec E, Pajak J, Skalski J, Olszewski W, Bitka T
Kliniki Kardiochirurgii Dzieciecej Instytutu Pediatrii Akademii Medycznej w Krakowie.
Przegl Lek. 1990;47(9):642-4.
The authors present the results of surgical treatment obtained in 288 children with tetralogy of Fallot. In 127 children palliative procedures (pulmonary-systemic anastomoses) were employed, whereas 161 patients were subjected to total surgical corrections of the defect, performed in cardiopulmonary bypass. In 127 (79%) belonging to the latter group the correction was a single stage procedure, and in 34 (21%), it followed pulmonary-systemic anastomoses. Perioperative mortality rate in children subjected to single stage procedures was 12%, being lightly lower than the rate observed in patients subjected to two stage procedures. The analysis of operative results corrected for age revealed a higher mortality rate in children operated when less then two years of age (17%) in comparison to older patients (11%).
作者展示了288例法洛四联症患儿的外科治疗结果。127例患儿采用了姑息手术（肺-体循环吻合术），而161例患者在体外循环下进行了缺损的完全外科矫正。后一组中有127例（79%）矫正为一期手术，34例（21%）在肺-体循环吻合术后进行。一期手术患儿的围手术期死亡率为12%，略低于二期手术患者的死亡率。校正年龄后的手术结果分析显示，与年龄较大的患者（11%）相比，两岁以下接受手术的患儿死亡率较高（17%）。
