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长期的膜功能Fallot的四分法完全修复后. 与心室节律失常的关系
K G Zahka1, P J Horneffer, S A Rowe
1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Circulation
|November 1, 1988
概括
费洛修复四重症后的长期结果显示,大多数患者的膜功能良好. 中度或重度的肺反与心室节律失常有关,这凸显了其在手术后监测患者的重要性.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 在Fallote修复四重症后,残留膜功能障碍的长期影响尚不清楚.
- 评估膜功能对于管理患者的术后纠正至关重要.
研究的目的:
- 为了前性地评估长期的膜功能及其与心律失常的相关性,在Fallot四重症完全修复后的患者.
- 确定该患者群体中不良结果的预测因素.
主要方法:
- 在手术后18年内对59名患者进行前性研究.
- 使用多普勒回声心脏学来评估膜功能障碍和24小时心电图监测心律不整.
- 测量了右心室外流梯度,排泄严重程度和心室腔大小.
主要成果:
- 大多数患者在修复后表现出良好的长期膜功能.
- 肺排泄 (78%) 和三排泄 (65%) 是常见的,大多是轻微的.
- 中度/重度的肺反与右心室腔面积增加和心室心律失常 (双胞胎,夫妇) 相相关.
结论:
- 大多数患者在Fallot修复的四重症后实现了良好的长期膜功能.
- 肺反的严重程度是识别患有心室失常风险的患者的关键标志物.
- 密切监测功能障碍,特别是肺反,对于长期的患者管理至关重要.
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