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gai liang quan qiang jing mai fei dong mai lian jie shu
Author(s): 
Pages: 15-17
Year: Issue:  S1
Journal: Academic Journal of Second Military Medical University

Keyword:  复杂性先天性心脏病改良全腔静脉肺动脉连接术;
Abstract: 目的:为了进一步改善全腔静脉肺动脉连接手术的效果,将原来的手术作了改良。方法:改良手术是上腔静脉近端与右肺动脉下缘吻合尽量向右且吻合口增大,上腔静脉远端与右肺动脉上缘吻合偏左。结果:在本组2例中,术后经上、下腔静脉造影和核素造影表明两肺血流分布合理,患者的血氧饱和度从73.6%和83.6%增加到93%~95%,心室容量负荷降低,早期疗效满意。结论:改良的全腔静脉肺动脉连接,使两肺血流分布比较合乎生理状态,体循环回心阻力较低,而且能有效地提高患者术后的血氧饱和度和减少心室容量负荷。
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