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本文报告了1992年收治的10例双腔右心室病人,男性9例,女性1例。年龄3~12岁,平均7岁,均合并有其它心内畸形,包括房缺、室缺、肺动脉瓣狭窄等。术前明确诊断双腔右心室者8例,2例误诊为法鲁四联症及单纯室间隔缺损。10例病人全部经右心室切口切除异常肌束,疏通右室流出道,4例用牛心包补片扩大流出道。术后9例恢复良好,1例死于脑部并发症。作者在文章中描述了双腔右心室的病理解剖学特征,强调术前诊断和术中识别本病的重要性。同时,就手术时机、手术方法及术中应注意的重要问题进行了讨论。
This article reports 10 cases of double-chamber right ventricular patients admitted in 1992, 9 males and 1 females. Age 3 to 12 years old, average 7 years old, are combined with other cardiac deformities, including atrial septal, ventricular septal, pulmonary valve stenosis. 8 cases were diagnosed as double-chamber right ventricle before surgery, 2 cases were misdiagnosed as Faro-Tetra disease and simple ventricular septal defect. All 10 patients underwent excision of abnormal muscle bundle by right ventricular incision to clear the right ventricular outflow tract, and 4 cases were expanded with bovine pericardial patch. Nine cases recovered well and one died of brain complications. The authors describe the pathological anatomy of the double-chamber right ventricle in the article, emphasizing the importance of preoperative diagnosis and identification of the disease during surgery. At the same time, the timing of surgery, surgical methods and important issues should be noted during surgery were discussed.