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題名 | 心室中隔缺損症之外科治療--經由右心室或右心房切口之比較 |
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作 者 | 鄭國琪; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 13:1 1980.03[民69.03] |
頁次 | 頁7-13 |
關鍵詞 | 切口; 心室中隔缺損症; 右心房; 右心室; 外科治療; |
語文 | 中文(Chinese) |
中文摘要 | 利用人工心肺機行直視下修補先天性心臟病心室中隔缺損是治療此症之最有效方法。傅統上,心曠切口多經由右心室搏出道,或行縱切,或行橫切,以進入右心室腔而將心室中間缺損處修補。雖然,右心室切口之優點是可提供良好之手術視野,對修補各型之心室中隔缺損均稱便利,但右心室為負責靜脈血液搏出至肺部之重要部份,理論上如在右心室切口,即使儘量避免傷及冠狀動脈血流,其切口本身之創傷,以及日後疤痕之形成,多少會影響右心室之功能,進而影響患者之預後。因此,有人主張經由右心房切口,肺動脉切口,或主動脈切口,以修補心室中隔缺損,希望能減少對右心室之傷害,並改善患者之預後。其中,經自右心房切口修捕心室中隔缺損之方法已逐漸普遍。本文僅就榮民總醫院心臟外科對右心房切口及右心房切口修補心室中隔缺損之近年臨床經驗提出報告。 |
英文摘要 | From September 1975 to August 1979, there were 76 cases of congenital ventricular septal defects undergoing surgical correction. Transatrial approach was used successfully in 42 patients. In 26 patients the defects were repaired through right ventriculotomy. 8 patients have had transatrial incision first and eventually the defects were corrected by transventricular approach. The results were compared regarding to the operative mortality, post-operative ECG, chest X-ray, heart murmur and symptoms. No significant difference was noted during the follow-up period. |
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