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大学医院联盟中左心发育不全综合征的管理

Management of hypoplastic left heart syndrome in a consortium of university hospitals.

作者信息

Gutgesell H P, Massaro T A

机构信息

Department of Pediatrics, University of Virginia, Charlottesville, USA.

出版信息

Am J Cardiol. 1995 Oct 15;76(11):809-11. doi: 10.1016/s0002-9149(99)80232-x.

DOI:10.1016/s0002-9149(99)80232-x
PMID:7572660
Abstract

To determine current management of hypoplastic left heart syndrome, we utilized the discharge database of the University Hospital Consortium and obtained data on the surgical procedures, length of stay, hospital charges, and outcome for 636 neonates with this condition admitted to 40 member institutions from 1989 to 1993. Of the 636 patients, 95 (15%) were discharged without surgical intervention. A Norwood operation was performed in 222 (53% mortality) and transplantation in 40 (42% mortality). Median length of stay and hospital charges were 17 days and $57,418 for the Norwood procedure and 47 days and $126,695 for transplantation.

摘要

为确定目前对左心发育不全综合征的治疗情况,我们利用了大学医院联合会的出院数据库,获取了1989年至1993年期间40个成员机构收治的636例患有该病症的新生儿的手术程序、住院时间、住院费用及治疗结果的数据。在这636例患者中,95例(15%)未经手术干预即出院。222例接受了诺伍德手术(死亡率53%),40例接受了移植手术(死亡率42%)。诺伍德手术的中位住院时间和住院费用分别为17天和57418美元,移植手术则分别为47天和126695美元。

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Management of hypoplastic left heart syndrome in a consortium of university hospitals.大学医院联盟中左心发育不全综合征的管理
Am J Cardiol. 1995 Oct 15;76(11):809-11. doi: 10.1016/s0002-9149(99)80232-x.
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The effect of surgical case volume on outcome after the Norwood procedure.诺伍德手术中手术病例数量对手术结果的影响。
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Fifteen-year single-center experience with the Norwood operation for complex lesions with single-ventricle physiology compared with hypoplastic left heart syndrome.15 年单中心经验:比较单一心室生理与左心发育不全综合征,行 Norwood 手术治疗复杂病变。
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