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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Early developmental outcome after the Norwood procedure for hypoplastic left heart syndrome.
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Early developmental outcome after the Norwood procedure for hypoplastic left heart syndrome.

机译：Norwood手术治疗左心发育不全综合征后的早期发育结果。

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OBJECTIVE: To assess intellect and adaptive behavior in children with hypoplastic left heart syndrome (HLHS) who had undergone at least two surgical stages of the Norwood procedure. METHODS: Fourteen children with HLHS >3 years of age participated in the study. The patients underwent intelligence quotient (IQ) testing, and their parents were interviewed regarding their children's adaptive behavior. Results were compared with those of 10 family controls. Outcomes were studied for possible correlation with perioperative variables. RESULTS: Among the HLHS patients, the median scores for full scale IQ and adaptive behavior were 88 and 91, respectively (normal = 100 +/- 15). One child met criteria for mental retardation. Family controls scored generally higher than did HLHS patients, but only differences in adaptive behavior were statistically significant. A negative correlation was found between stage I circulatory arrest time and full scale IQ. CONCLUSIONS: Children with HLHS most often function in the low-normal range of intelligence and adaptive behavior. A prolonged circulatory arrest time may result in decreased intellectual function.
机译：目的：评估至少经历了诺伍德手术两个手术阶段的发育不良左心综合征（HLHS）患儿的智力和适应行为。方法：14名HLHS> 3岁的儿童参加了这项研究。患者接受了智商（IQ）测试，并就他们的孩子的适应行为接受了父母的采访。将结果与10个家庭对照组的结果进行比较。研究结果与围手术期变量的可能相关性。结果：在HLHS患者中，全智商和适应行为的中位数分别为88和91（正常值= 100 +/- 15）。一个孩子符合智力低下的标准。家庭对照组的得分普遍高于HLHS患者，但只有适应性行为的差异具有统计学意义。在I期循环停搏时间与全智商之间发现负相关。结论：HLHS儿童最常在智力和适应性行为的低正常范围内发挥作用。延长的循环停止时间可能会导致智力功能下降。

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