本文对41例室缺伴肺高压术后进行远期随访,随访时间4～11年,结果34例(82%)症状明显改善;体重达正常标准者自术前31.6%增至51.2%;身长达正常标准者自术前15.3%增至65%;杂音消失20例(48.8%),胸片示心脏恢复正常者32.3%;肺充血亦有不同程度好转。术后主要并发症为修补后再漏占14.6%,束支传导阻滞46.3%。并讨论室缺伴随症的诊断与鉴别诊断及肺血管病理变化与预后关系。 In this paper, 41 cases of atrial fissure with pulmonary hypertension were followed up for 4 to 11 years. Results of 34 cases (82%) were significantly improved; those with normal body weight increased from 31.6% to 51.2% before surgery; Up to the normal standard from 15.3% before surgery increased to 65%; noise disappeared in 20 cases (48.8%), chest X-ray showed normal heart return to 32.3%; pulmonary congestion also improved to varying degrees. The main complication after surgery was missed 14.6% after repair and bundle branch block 46.3%. And to discuss the absence of adjunct to the diagnosis and differential diagnosis of pulmonary vascular pathological changes and prognosis.