儿童法洛四联症的完全修复:单一中心的短期结果

Khanh Van Le Thanh, Ngoc Vi Hoang, Van Phung Doan, Quoc Thang Bui
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摘要

法洛四联症是一种常见的青紫型先天性心脏病。作为法洛四联症的一种自然病史,早期手术治疗可以预防发绀并发症甚至死亡,使患者有机会拥有正常的身心健康。本研究旨在显示Cho Ray医院小儿心脏外科法洛四联症完全修复的短期结果(包括术后住院时间和出院后30天)。回顾性研究了2017年3月至2019年12月38例法洛四联症全胸骨切开和体外循环全修复患者的病历资料,并按收集表进行了回顾性研究。结果:平均年龄33.89±13.02月龄,平均体重11.77±2.48 kg。体外循环时间147.74±12.48 min,主动脉交叉夹持时间104.84±9.73 min,机械通气时间31.14±10.75 h,重症监护住院时间58.03±13.56 h,术后住院时间10.12±1.5 d,死亡率2.6%。该研究得出结论,体重轻的儿童完全修复法洛四联症的短期手术结果是安全有效的,死亡率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPLETE REPAIR FOR TETRALOGY OF FALLOT IN CHILDREN: SHORT-TERM OUTCOME IN A SINGLE CENTER
Tetralogy of Fallot is a common cyanotic congenital heart disease. Early surgery treatment gives patients a chance to have normal physical and mental health due to preventing complications of cyanosis and even death as a natural history of tetralogy of Fallot. This study aimed to show short-term outcomes (including the time of postoperative hospital stay and 30 days after discharge) of tetralogy of Fallot complete repair at the Department of Pediatric Cardiac Surgery, Cho Ray Hospital. A retrospective study was performed on the dataof medical documents of 38 patients, who underwent complete repair for tetralogy of Fallot with full sternotomy and cardiopulmonary bypass from March 2017 to December 2019, following a collection form. The results showed the average age and weight were 33.89±13.02 months and 11.77±2.48 kg. The cardiopulmonary bypass time was 147.74±12.48 mins, the aortic cross-clamp time 104.84±9.73 mins, the mechanical ventilation time 31.14±10.75 hours, the duration of stay in the intensive care unit 58.03±13.56 hours, the postoperative hospital stay time 10.12±1.5 days, and the mortality rate 2.6%. The study concludes that the short-termsurgical outcome of complete repair for tetralogy of Fallot in lightweight children is safe and effective with a low mortality rate.
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