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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。

Open heart surgery in first year of life using profound hypothermia (core cooling) and circulatory arrest. Experience with 134 consecutive cases.

作者信息

Di Eusanio G, Ray S C, Donnelly R J, Hamilton D I

出版信息

Br Heart J. 1979 Mar;41(3):294-300. doi: 10.1136/hrt.41.3.294.

DOI:10.1136/hrt.41.3.294
PMID:426979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC482029/
Abstract

Between April 1970 and December 1977, 134 infants aged 2 days to 12 months underwent open heart surgery using profound hypothermia and total circulatory arrest. The technique of bypass (core) cooling is described. Results are reviewed for 4 principal diagnoses: 'simple' transposition of the great vessels, total anomalous pulmonary venous connection, ventricular septal defect, and Fallot's tetralogy. A mortality of 44 per cent in 32 cases during the first 3-year period has been reduced to 22 per cent in 102 cases during the subsequent 5 years. The overall mortality for the entire period was 28 per cent. The policy for the management of each diagnostic group is outlined.

摘要

1970年4月至1977年12月期间,134名年龄在2天至12个月的婴儿接受了深低温和完全循环停止下的心脏直视手术。文中描述了体外循环(核心)降温技术。回顾了4种主要诊断的结果:“单纯”大动脉转位、完全性肺静脉异位连接、室间隔缺损和法洛四联症。前3年32例患者的死亡率为44%,在随后的5年中,102例患者的死亡率降至22%。整个期间的总死亡率为28%。概述了每个诊断组的治疗策略。

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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.
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本文引用的文献

1
Open heart surgery in infants with an aid of hypothermic anesthesia.低温麻醉辅助下的婴儿心脏直视手术。
Nihon Geka Hokan. 1967 Jul 1;36(4):495-508.
2
Correction of heart disease in infancy utilizing deep hypothermia and total circulatory arrest.利用深低温和完全循环停止矫正婴儿期心脏病。
J Thorac Cardiovasc Surg. 1971 Jan;61(1):64-9.
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The critically ill infant with congenital heart disease.患有先天性心脏病的危重症婴儿。
Mod Concepts Cardiovasc Dis. 1973 Nov;42(11):53-8.
4
Early correction of congenital heart disease with surface-induced deep hypothermia and circulatory arrest.
J Thorac Cardiovasc Surg. 1973 Sep;66(3):375-86.
5
Open-heart surgery in the first year of life.出生后第一年的心脏直视手术。
J Thorac Cardiovasc Surg. 1973 Jan;65(1):58-64.
6
Intracardiac surgery with extracorporeal circulation in infants: indications and results.婴儿体外循环下心内手术:适应证与结果
Ann Thorac Surg. 1974 Mar;17(3):280-95. doi: 10.1016/s0003-4975(10)65651-2.
7
Open-heart surgery during the first three months of life.出生后前三个月内的心脏直视手术。
J Thorac Cardiovasc Surg. 1974 Nov;68(5):719-31.
8
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。
J Thorac Cardiovasc Surg. 1976 Apr;71(4):485-92.
9
Open-heart experience in infants using normothermia and deep hypothermia.婴儿在正常体温和深度低温情况下的心脏直视手术经验。
Ann Thorac Surg. 1976 Nov;22(5):415-23. doi: 10.1016/s0003-4975(10)64449-9.
10
Cardiopulmonary bypass in infants under four months of age.四个月以下婴儿的体外循环
J Thorac Cardiovasc Surg. 1977 Jun;73(6):894-9.