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不用体外循环的异位并列心脏移植实验研究

Experimental Study of Heterotopic Heart Transplantation without Cardiopulmonary Bypass

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【作者】 沈远仲张良华潘友民胡宗英

【Author】 Yuan-zhong Shen; Liang-hua Zhang; You-min Pan; et al.(Department of Thoracic and Cardiovascular Surgery, Tongji Hospital, TongJi Medical University,Wuhan 430030)

【机构】 同济医科大学附属同济医院胸心外科

【摘要】 1988年7月至1991年7月,我们在不用体外循环情况下做了70条犬胸内异位并列心脏移植实验。术后供心总复跳率91.42%,犬最长存活13天。供心植入28h后,以多普勒相控阵超声显象诊断仪检查,可见自体心与供心功能均正常。8kg重犬的供心植入后,每分钟排血1.2L,左室收缩增厚率20%。移植后存活13天的供心组织学检查见有明显急性排斥反应改变。

【Abstract】 From 1988 to 1991,70 heterotopic heart transplantions (HHT) on canines were performed under normothermia with endotracheal anesthesia but without cardiopulmonary bypass.The total recovery rate of donor heart-beat after transplantation was 91. 42%.The longest survival time after HHT. was 13 days.M-mode echocardiography revealed good function of both recipient’s and transplanted hearts.The cardiac output (CO) of donor’s heart from canine weighing 8kg was 1. 2 L/min and the thickening rate of left ventricular wall during contraction was 20%. In the meantime, the phased array ultrasonic imaging system echocardiography showed normal beart beat of the transplanted hearts as well as the recipient’s hearts with good mitral and tricuspid valvular function.The pathologic change of donor heart after survival for 13 days showed evidence of acute rejection.

【基金】 卫生部科研基金
  • 【文献出处】 中华胸心血管外科杂志 ,CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY , 编辑部邮箱 ,1995年02期
  • 【分类号】R654.2
  • 【被引频次】1
  • 【下载频次】23
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