标题：成人重度肺动脉狭窄的手术治疗

      作者：程 亮，陈振强，赵 扬，叶生爱，张 辉，宋建萍
    （江苏省中医院南京中医药大学附属医院心胸外科，江苏 南京 210029）

      卷次： 2012年23卷1期

      【摘要】 目的 总结成人重度肺动脉狭窄手术围术期的治疗经验。方法 11例成人肺动脉狭窄患者接受
手术治疗，均行补片右室流出道拓宽，同时矫治合并其他心内畸形。结果 1例因术后静脉血栓导致肺栓塞死
亡，另1例因右心功能不全死亡；余9例顺利痊愈出院。结论 手术仍然是治疗成人重度肺动脉狭窄的最有效手
段，术后出现的右心功能不全和（或）肺栓塞是影响预后的危险因素。

      【关键词】 肺动脉狭窄；肺栓塞；右心功能不全

      【中图分类号】 R543.2 【文献标识码】 A 【文章编号】 1003—6350（2012）01—053—03<

br>Surgical treatment for adult severe pulmonary stenosis.
CHEN Liang，CHEN Zhen-qiang，ZHAO Yang, YE
Sheng-ai, ZHANG Hui, SONG Jian-Ping. Department of Thoracic-cardiovascular Surgery, TCM Hospital of Jiangsu
Province, Nanjing 210029，Jiangsu, CHINA

【Abstract】 Objective To summarize the clinical experience of severe adult pulmonary stenosis periopera-
tively. Methods 11 consecutive patients received correction of severe pulmonary stenosis，all of which underwent
transannular right ventricular outflow tract enlargement with autologous pericardium patch. Results 9 cases were re-
covered completely and discharged home smoothly. There were 2 Petients dead postoperatively，one died of pulmo-
nary embolism，the other died of right ventricular failure. Conclusion Surgery is still an effective management to
pulmonary stenosis. Right heart failure and pulmonary embolism are rare morbidity but deadly.

      【Key words】 Pulmonary stenosis; Pulmonary embolism; Right ventricular failure
作者简介:程 亮（1978—），男，江苏省宿迁市人，主治医师，硕士。