Alfieri O, Bianchi T, Locatelli G, Vanini V, Parenzan L
J Pediatr Surg. 1977 Feb;12(1):113-20. doi: 10.1016/0022-3468(77)90304-9.
Intracardiac repair of a variety of cardiac anomalies was performed in 104 infants aged 10 days to 6 mo, presenting with severe hypoxia and/or intractable heart failure. Thirty-eight patients (33 less than three mo of age) did not survive the operation or died during the first postoperative month. Above 6 mo of age, correction of heart defects is often carried out on an elective basis, and results are more favorable. A more convenient choice between corrective and palliative procedures is suggested to achieve better results in the difficult group of patients who require surgery within the first 6 mo of life.
对104例年龄在10天至6个月的婴儿进行了各种心脏畸形的心脏内修复手术,这些婴儿表现为严重缺氧和/或顽固性心力衰竭。38例患者(33例年龄小于3个月)术后未存活或在术后第一个月内死亡。6个月以上的患者,心脏缺陷矫正手术通常是择期进行的,效果更好。对于那些需要在出生后6个月内进行手术的困难患者群体,建议在矫正手术和姑息手术之间做出更方便的选择,以取得更好的效果。