摘要手术治疗67例6个月以下危重先天性心脏病.患儿均于出生后或不久出现充血性心力衰竭或严重缺氧紫绀,急诊就医.最小年龄为9天,最轻体重为2kg.非体外循环手术45例,病死率37.8%;体外循环手术22例,病死率40.9%.全组姑息性手术占58.2%,根治术占41.8%.总病死率为38.8%.危重者以完全性大动脉错位和室间隔完整型肺动脉闭锁为主(56.7%).

abstractsSixty-seven cases (weight 2 to 7.5 kg),under 6 months of age (the youngest being 9 days) with severe congenital heart disease:were operated on.All of them suffered from obstinate congestive heart failure of severe hypoxia and cyanosis.Most of the critical cases of this series had pulmonary atresia with intact ventricular septum and transposition of the great artery.Twenty-two underwent cardiopulmonary bypass(CPB) with a mortality of 40.9%.The mortality of 45 cases without CPB was 37.8% and the total hospital mortality was 38.8%.Among them,58.2% received a palliative operation,and 41.8% primary repair.