Children with tetralogy of Fallot surgical treatment.docVIP

 PAGE \* MERGEFORMAT 6 Children with tetralogy of Fallot surgical treatment OF: Ming-Dong Feng Wang Jiantang Chaishou Dong Ma Shengjun Liu Tao Tang Peizhe [Abstract] Objective: To explore the children tetralogy of Fallot the clinical characteristics and surgical treatment. Methods: 46 patients 4 to 46 months of tetralogy of Fallot children with low cardiopulmonary bypass in the anesthesia method Le radical surgery of Fallot. Results: 1 patient died. Postoperative low cardiac output in 2 cases, 2 cases of pulmonary perfusion, pneumonia, atelectasis in 3 cases, 1 case of pleural effusion, pericardial tamponade secondary thoracotomy to stop bleeding 1 cases. Conclusion: Children children tetralogy of Fallot surgical treatment has its particularity, gentle surgery operations should be accurate, clear resection of right ventricular outflow tract septum beam, wall beams should not be extensive, ventricular septal defect and right ventricular outflow tract patch size should be suitable. Postoperative right supplementary volume, strengthened heart function support. artery and left ventricular function and development situation is the most important factor affecting the surgical effect. [Keywords:] Tetralogy of Fallot, infant, surgical treatment Our hospital from February 2004 ~ August 2010, after radical surgery of infant tetralogy of Fallot (Act IV) of 46 cases, satisfactory results of operations are reported as follows: 1 Materials and Methods 1.1 General information: The group of 46 patients, 26 males and 20 females, aged 4 to 56 months, weight 4.5 ~ 15kg. There was cyanosis, clubbing of the fingers (toes in 37 cases, there is squat the history of 25 patients . at the left sternal border with systolic murmur grade ~ 41 cases. X-ray showed a typical boot-shaped heart in 39 patients. Echocardiography of right ventricular outflow tract with pulmonary valve stenosis in 38 cases. 1.2 surgical procedures: surgery patients in this group, a