Chia K E, Sheares J H, Wu D C, Tan K T, Tan N C
Ann Acad Med Singap. 1980 Oct;9(4):463-7.
Symptomatic ventricular septal defects in infants who responded poorly to intensive medical therapy require surgical intervention. This paper aims to compare the results of the two stage approach of initial pulmonary artery banding followed by debanding and ventricular septal defect closure with primary intracardiac repair in infancy. Thirty-six infants underwent pulmonary artery banding between 1968-1979 with two operative deaths (5.6%). Eighteen patients underwent pulmonary artery debanding and closure of ventricular septal defect between 1971-1979 with five operative deaths (25.6%). However during 1978-1979 ten patients underwent 2nd stage repair with no operative death. During the same period primary intracardiac repair in infancy was carried out in nine infants with three operative deaths (33.3%). There appears to be still a place for two stage treatment of symptomatic ventricular-septal defect in critically ill infants certain situation.
对强化药物治疗反应不佳的婴儿有症状室间隔缺损需要手术干预。本文旨在比较初始肺动脉环扎术随后解除环扎及室间隔缺损闭合的两阶段方法与婴儿期一期心内修复的结果。1968年至1979年间，36例婴儿接受了肺动脉环扎术，2例手术死亡（5.6%）。1971年至1979年间，18例患者接受了肺动脉环扎解除术及室间隔缺损闭合术，5例手术死亡（25.6%）。然而在1978年至1979年间，10例患者接受了二期修复，无手术死亡。同期，9例婴儿在婴儿期进行了一期心内修复，3例手术死亡（33.3%）。在某些情况下，对于危重症婴儿有症状室间隔缺损的两阶段治疗似乎仍有其应用空间。
