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相继褥式缝瓣法在心脏瓣膜置换术中的应用

Application of the pad mattress sewing valves continuously in the procedure of cadiac prosthesis replacement

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【作者】 刘锦屏夏春秋于波张剑钟秦良光田月霞武勇李静王维刚

【Author】 LIU Jin ping,XIA Chun qiu,YU Bo,et al.(Department of Cadiac Surgery,The First People’s Hospital of Lianyungang,Jiangsu 222002,China)

【机构】 江苏省连云港市第一人民医院心外科江苏省连云港市第一人民医院心外科江苏省连云港市第一人民医院麻醉科江苏省连云港市第一人民医院心外科麻醉科 222002222002222002

【摘要】 目的 寻求简便、可靠、利于操作的缝瓣方法。方法 对 10例需行瓣膜置换的患者在全麻体外循环下采用相继缝瓣法进行瓣膜置换术。结果 全组病例除发生 1例低心排综合征、1例多器官衰竭 ,经治疗痊愈外 ,无 1例死亡。结论 相继缝瓣法具有操作有序、简便、减少绕线、缝合牢固等优点 ,克服了其它各种缝瓣法的缺点。对于新开展心脏瓣膜置换术的单位 ,尤其是手术人员 ,是一种值得推广使用的手术方式。

【Abstract】 Objective To explore a simple,reliable and handy method of sewing valves in heart valve prosthesis replacement.Methods Ten patients underwent heart valve prosthesis replacement with the method of pad mattress sewing valves one after another in cardiopulmonary bypess.Results There were not postoperative mortality.Among 10 patients,one case of low cardiac output syndrome and one case of multiple system organ failure were foun who recovered affter treatment.All patients were followed up and no paravalvular leaks was found on colour doppler ultra echocardiography.Conclusion There are some advantages including operating in order,simple,less bangles,sewing tightly with the methed of pad mattress sewing valves one after another.This method is good in the hospital which just begins to carry out the heart valve prosthesis implantation.

【基金】 江苏省连云港市科技资金资助项目 (SH0 113)
  • 【文献出处】 淮海医药 ,Journal of Huaihai Medicine , 编辑部邮箱 ,2003年01期
  • 【分类号】R654.2
  • 【下载频次】15
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