Stark J
Prog Pediatr Surg. 1979;13:109-14.
During 1973--1977, 212 infants underwent open heart operations for congenital heart disease at the Thoracic Unit, The Hospital for Sick Children, Great Ormond Street. The current results (75% survival rate) are compared with the results from earlier years (1963--1967) which showed only a 35% survival rate. Two groups are discussed in detail: Infants with Total Anomalous Pulmonary Venous Drainage, and Persistent Truncus Arteriosus. Although the operative risk in both groups remains high, the analysis of the natural history, palliative and corrective surgery and causes of death suggests that early total repair of severely symptomatic infants achieves the optimal results. The importance of careful analysis is emphasised. Palliative surgery still plays an important role in the treatment of congenital heart defects in infancy. The optimal timing and time of operation can only be selected after careful analysis of various factors.
1973年至1977年间，212名婴儿在大奥蒙德街儿童医院胸科接受了先天性心脏病的心脏直视手术。将目前的结果（存活率75%）与早年（1963年至1967年）仅35%的存活率进行了比较。详细讨论了两组病例：完全性肺静脉异位引流婴儿和永存动脉干婴儿。尽管两组的手术风险仍然很高，但对自然病史、姑息性和矫正性手术以及死亡原因的分析表明，对症状严重的婴儿尽早进行全面修复可取得最佳效果。强调了仔细分析的重要性。姑息性手术在婴儿先天性心脏缺陷的治疗中仍起着重要作用。只有在仔细分析各种因素后，才能选择最佳的手术时机。
