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우심실유출로협착증의 수술예후에 영향을 미치는 인자에 관한 연구
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  • 우심실유출로협착증의 수술예후에 영향을 미치는 인자에 관한 연구
저자명
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간행물명
大韓胸部外科學會誌
권/호정보
1994년|27권 6호|pp.435-443 (9 pages)
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대한흉부외과학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Surgical procedures to relieve congenital right ventricular outflow tract[RVOT] obstruction of heart were performed on 125 patients from September 1985 to August 1992. There were 65 males and 60 females. Ages ranged from 7 months to 33 years with a mean age of 8 years. All the patients were divided into three main groups[I, II, III] depending on the presence or absence of cyanosis and combined anomalies. The patient were classified into two groups; A and B according to the outcome after surgical repair. Group A included the patients who had a good postoperative outcome with or without mild complications such as wound disruption, or hydrothorax. Group B included the patients who had a poor outcome including hospital death and significant postoperative complications such as heart failure, low output syndrome, respiratory failure, hepatic failure and others. And the results were summarized as follows. 1. There were no significant differences in age, body surface area and aortic dimension among the group I, II, and III, but there were significant differences among groups in pulmonary arterial dimension, ACT[aortic cross clamping time], TBT [total bypass time], preoperative and postoperative ratio of systolic pressure of right and left ventricles [pre PRV/RV and post PRV/LV], and the size of Hegar dilator which passed through the RVOT postoperatively [p<0.05]. 2. In the group A and B, there were significant differences in pulmonary arterial dimension [group A:1.6$pm$0.5 cm, group B:1.9$pm$0.6 cm], ACT [group A:102.3$pm$ 46.0 minute, group B:76.1$pm$46.1 minute], TBT [group A:133.9$pm$56.6 minute, group B:94.9$pm$51.9 minute], pre PRV/LV [group A:1.06$pm$0.24, group B:0.8$pm$0.32], post PRV/LV [group A:0.58$pm$0.18, group B:0.43$pm$0.16].It has been concluded that postoperative prognosis of RVOT obstruction was influenced by pulmonary arterial dimension, ACT, TBT, severity of RVOT obstruction [pre PRV/LV] and post PRV/LV.