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大动脉转位。Mustard手术后37例病例回顾。

Transposition of the great arteries. A review of 37 cases after Mustard's operation.

作者信息

Ihenacho H N, Patel R G, Singh S P, Astley R, Parsons C G

出版信息

Thorax. 1973 Jul;28(4):448-52. doi: 10.1136/thx.28.4.448.

Abstract

, , 448-452. Thirty-seven children with transposition of the great arteries have undergone Mustard's operation in Birmingham Children's Hospital from May 1968 to December 1971. Thirtythree of these had simple transposition of the great arteries and four were complicated. All but two had some previous palliative procedures. Ten patients died before discharge from hospital and there were two late deaths, one after three months and the other after eight months. Bleeding, dysrhythmia, and hypotension were common immediate postoperative complications, while recurrent heart failure and persistent atrioventricular block occurred in five and four patients respectively.

摘要

1968年5月至1971年12月期间,37例大动脉转位患儿在伯明翰儿童医院接受了马斯塔德手术。其中33例为单纯性大动脉转位,4例为复杂性大动脉转位。除2例之外,所有患儿此前均接受过一些姑息性治疗。10例患儿在出院前死亡,另有2例晚期死亡,1例在术后3个月死亡,另1例在术后8个月死亡。出血、心律失常和低血压是常见的术后即刻并发症,而分别有5例和4例患儿出现复发性心力衰竭和持续性房室传导阻滞。

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