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目的：探讨婴儿先天性心脏畸形的手术矫治效果。方法：分析总结我院外科１９９４年６月至１９９５年１０月间连续对１２８例先天性心脏畸形婴儿手术矫治情况。结果：１２８例婴儿，年龄９．１±２．７（２～１２）月；体重７．０±１．６（４～１２）ｋｇ。６６例左向右分流心脏畸形，包括：心室间隔缺损３７例、心室间隔缺损合并动脉导管未闭和（或）心房间隔缺损１５例、心室间隔缺损合并二尖瓣关闭不全５例、动脉导管未闭６例、其他３例，其中合并中重度肺动脉高压４７例。紫绀型右向左分流心脏畸形６２例，包括：法乐四联症４１例、法乐三联症６例、心室间隔缺损合并肺动脉狭窄２例、复杂心脏畸形１３例。１２８例中６例动脉导管未闭在全麻下行闭合术，余１２２例婴儿均在中度或深度低温体外循环下行心内矫治术，手术死亡４例，手术死亡率３．１２％。结论：先天性心脏畸形在婴儿期行矫治手术，可取得良好效果
Objective: To investigate the effect of surgical treatment of congenital heart malformation in infants. Methods: Analysis of surgical treatment of 128 cases of congenital heart malformations in our hospital from June 1994 to October 1995. Results: 128 infants, age 9.1 ± 2.7 (2 ~ 12) months; body weight 7.0 ± 1.6 (4 ~ 12) kg. 66 cases of left to right shunt cardiac malformations, including: 37 cases of ventricular septal defect, ventricular septal defect with patent ductus arteriosus and / or atrial septal defect in 15 cases, ventricular septal defect with mitral regurgitation in 5 cases, patent ductus arteriosus 6 cases closed, the other 3 cases, including 47 cases of moderate and severe pulmonary hypertension. 62 cases of cyanotic right-to-left shunt cardiac malformations included 41 cases of tetralogy of Fallot, 6 cases of tetralogy of Fallot, 2 cases of ventricular septal defect complicated with pulmonary stenosis and 13 cases of complicated cardiac malformation. In 128 cases, 6 cases of patent ductus arteriosus closed under general anesthesia. The remaining 122 infants underwent endocardial correction under moderate or deep hypothermic cardiopulmonary bypass. Four patients died of surgery, and the operative mortality was 3.12%. Conclusion: Congenital heart malformations can be used to correct the operation in infancy