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法乐氏四联症纠治术已开展30余年。当年手术的少年们现已40～50岁了。作者对1960～1982年309例法乐氏四联症纠治术的患者,进行长期随访,并分析其近期手术死亡率,晚期再次手术和晚期死亡的主要原因。病人和方法:手术平均年龄为9±10岁(3天～47岁)。平均体重24±19kg(3～96kg)。诊断标准:(1)大型室间隔缺损;(2)右室流出道梗阻,累及漏斗部、肺动脉主干、肺动脉瓣环和/或肺动脉瓣,或远端肺动脉狭窄和单支肺动脉闭锁的儿童;(3)主动脉骑跨和右室肥厚。
Tetralogy of Fallot Correction has been carried out for more than 30 years. The surgery of the juveniles are now 40 to 50 years old. The authors conducted a long-term follow-up of 309 patients with tetralogy of Fallot from 1960 to 1982 and analyzed the main causes of their recent operative mortality, late reoperation and late death. Patients and Methods: The mean age of surgery was 9 ± 10 years (3 days to 47 years). The average body weight of 24 ± 19kg (3 ~ 96kg). Diagnostic criteria: (1) large ventricular septal defect; (2) right ventricular outflow tract obstruction, involving the funnel, the main pulmonary artery, pulmonary valve and / or pulmonary valve, or distal pulmonary stenosis and pulmonary atresia; 3) aortic riding and right ventricular hypertrophy.