Guyton R A, Owens J E, Waumett J D, Dooley K J, Hatcher C R, Williams W H
J Thorac Cardiovasc Surg. 1983 Jun;85(6):917-22.
The Blalock-Taussig shunt has been used at our institution in 64 infants with cyanotic congenital heart disease who required palliation. Thirty-one of these children were less than 2 months of age at the time of operation. There were no early shunt closures. There were two hospital deaths (3%). There was only one hospital death in the 31 patients less than 60 days old. According to a life-table analysis, 87% +/- 9% (+/- 95% confidence limits) of the shunts were functioning at 1 year and 78% +/- 12% at 2 years. Results are similar in the subgroup of children less than 60 days of age at the time of operation or in the subgroup of children weighing less than 3,999 gm at operation. In infants with small pulmonary arteries, pulmonary arterial growth was excellent (ipsilateral pulmonary artery/descending aorta ratio 0.70 leads to 0.95 in 550 days, p less than 0.001; contralateral ratio 0.73 leads to 0.99 in 550 days, p less than 0.001). The Blalock-Taussig shunt can be performed with low risk, provides excellent palliation, and is associated with excellent pulmonary artery growth.
我们机构对64例需要姑息治疗的青紫型先天性心脏病婴儿使用了布莱洛克 - 陶西格分流术。其中31例患儿在手术时年龄小于2个月。没有早期分流闭塞情况。有2例住院死亡（3%）。在31例年龄小于60天的患者中只有1例住院死亡。根据寿命表分析，1年后87%±9%（±95%置信区间）的分流仍在发挥作用，2年后为78%±12%。手术时年龄小于60天的儿童亚组或手术时体重小于3999克的儿童亚组的结果相似。在肺动脉细小的婴儿中，肺动脉生长情况良好（同侧肺动脉/降主动脉比值在550天内从0.70增至0.95，p<0.001；对侧比值在550天内从0.73增至0.99，p<0.001）。布莱洛克 - 陶西格分流术可在低风险下进行，提供良好的姑息治疗效果，且与肺动脉良好生长相关。
