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体外循环心内直视手术22例

Open Heart Surgery on 22 Patients in CPB

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【作者】 程天喜熊广舒罗南赵夏郑昭烁杨端丽贾梦影黄竹芳牛怀国吕平海罗席全

【Author】 Chen Tianxi Xiong Guangshu Luo Lan Department of Thoracic and Cardiac Surgery,The 4th People’s Hospital,Zigong,Sichuan.

【机构】 四川省自贡市第四人民医院胸心外科四川省自贡市第四人民医院胸心外科四川省自贡市第四人民医院麻醉科四川省自贡市第四人民医院心脏内科四川省自贡市第四人民医院

【摘要】 本文总结体外循环心内直视手术22例,男8例,女14例。22例中,ASD 6例、VSD 6例、RHD 5例、F3 3例、PS 2例、F4和心脏异物各1例。作者认为:良好的心肌保护,低负荷状态下的心脏停跳和复苏,正确的后续监护治疗,是降低死亡率的关键。

【Abstract】 This paper presented the experience of 22 cases undergone CPB.There were 14 females and 8 males with the age ranging from 8 to 44 years.Of these 22 patients,6 were diagnosed with ASD,6 with VSD.5 with RHD,3 with F3,2 with P.S and 1 with F4 and the another one with forein body of the heart.There was no surgical derth in this series.The authors considered that the clues to decreased mortality of CPB was sufficient myocardial p- rotection the cardiac arrest and resuscitation under the condition of lower load of the ve- ntricles and correct continued therapy after operation.

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