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体外循环下先天性心脏病的早期修复。关于158例5岁以下手术病例

[Early repair of congenital cardiopathies under extracorporeal circulation. Apropos of 158 surgical cases under the age of 5].

作者信息

Monties J R, Goudard A, Blanc-Gauthier T, Gatau-Pelanchon J, Fogliani J, Bandini A, Gérard R, Henry E

出版信息

Arch Mal Coeur Vaiss. 1975 Apr;68(4):363-8.

PMID:816291
Abstract

A great number of congenital heart diseases are now amenable to treatment before school age. A homogeneous experience of 158 cases operated upon made it possible to make the follow remarks:--The operative mortality before the age of 1 year remains high, in view of the difficulties of ressuscitation, but mainly because of the severity of the heart disease to treat. --Between the ages of 1 and 5 years, the risk decreased with experience, and for the heart diseases most frequently encountered, lethality fell to 2.8% for the last 4 years. One may thus accept to perform, not only necessity operations, but principle operations before school age. The schematic indications in relation with each heart disease were analysed.

摘要

现在,大量先天性心脏病在学龄期前就可以得到治疗。对158例手术病例的统一经验使得可以做出以下评论:——鉴于复苏困难,1岁前的手术死亡率仍然很高,但主要是因为要治疗的心脏病病情严重。——在1至5岁之间,随着经验的积累风险降低,对于最常见的心脏病,在过去4年中致死率降至2.8%。因此,不仅可以接受进行必要的手术,还可以接受在学龄期前进行根治性手术。分析了与每种心脏病相关的示意性适应症。

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