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完全性肺静脉异位引流

Total anomalous pulmonary venous drainage.

作者信息

Rostad H, Sørland S, Tjønneland S, Froipaker T

出版信息

Scand J Thorac Cardiovasc Surg. 1979;13(1):13-6. doi: 10.3109/14017437909101779.

DOI:10.3109/14017437909101779
PMID:432569
Abstract

Twelve patients with total anomalous pulmonary venous drainage (TAPVD) underwent complete surgical correction. Six were of the supracardiac type, 2 were cardiac and 4 of the infracardiac type. Pulmonary hypertension due to pulmonary vein obstruction was present in 6 patients. There were 6 early deaths, which occurred on the table or soon after surgery. One patient died 8 months after the operation because of a marked obstruction of the pulmonary venous inflow. Early diagnosis and operative correction in these severely ill patients should not be delayed. Postoperative intensive care and long-term follow-up are of the greatest importance.

摘要

12例完全性肺静脉异位引流(TAPVD)患者接受了完全手术矫正。其中6例为心上型,2例为心内型,4例为心下型。6例患者存在因肺静脉梗阻导致的肺动脉高压。有6例早期死亡,发生在手术台上或术后不久。1例患者术后8个月因肺静脉流入明显梗阻死亡。对于这些重症患者,不应延迟早期诊断和手术矫正。术后重症监护和长期随访至关重要。

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