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目的 总结完全性肺静脉异位引流 (TAPVD)外科治疗的经验。方法 回顾了 16例在中深度低温体外循环下手术纠治患儿的手术方法。结果 本组无手术死亡 ,并发症发生率 5 2 2 % ,均治愈。随访问 6例 ,无 1例肺静脉回流梗阻 ,无远期死亡。结论 尽早手术尤其在婴幼儿期 ( <3岁 )可防止肺血管阻塞性病变 ;改进手术方法、术前合理的内科治疗和术后良好的监护是降低手术死亡率的关键
Objective To summarize the experience of surgical treatment of complete pulmonary venous drainage (TAPVD). Methods A retrospective review of 16 surgical procedures for the treatment of children undergoing moderate hypothermic cardiopulmonary bypass was performed. Results There was no operative death in this group, with a complication rate of 52.2%. All patients were cured. Follow-up visit in 6 cases, no case of pulmonary venous obstruction, no long-term death. Conclusions Early surgery, especially in infancy (<3 years), can prevent pulmonary vascular obstructive lesions; improving surgical procedures, adequate preoperative medical care, and good postoperative care are key to reducing operative mortality