Binet J P, Langlois J, Bruniaux J, Conso J F, Planche C
Arch Mal Coeur Vaiss. 1976 Jun;69(6):589-93.
The authors report their experience of one-stage closure of poorly-tolerated ventricular septal defects in small children and babies. They use both extra-corporeal circulation and profound hypothermia. The results which they present have been very encouraging. They emphasise the fact that the closure is not complete after surgery, and that most of the murmurs which persist post-operatively disappear gradually. Of the neurological defects which were seen in two cases after surgery (one after profound hypothermia and one after extra-corporeal circulation) one resolved completely; in the other (in which there was a cardiac arrest followed by cardiac massage for one hour) certain intermittent visual defects have persisted. All of the other children can now be regarded as normal.
作者报告了他们对小儿和婴儿难以耐受的室间隔缺损进行一期闭合的经验。他们同时使用体外循环和深度低温技术。他们所展示的结果非常令人鼓舞。他们强调,术后闭合并不完全,且术后持续存在的大多数杂音会逐渐消失。在术后出现的两例神经功能缺损病例中(一例发生在深度低温后,另一例发生在体外循环后),一例完全恢复;另一例(发生心脏骤停并进行了一小时心脏按摩)仍存在某些间歇性视觉缺损。其他所有儿童目前均可视为正常。