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心脏跳动下心脏手术在复杂重症先天性心脏病中的应用

Experience of beating heart surgery in complex and severe congenital heart diseases

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【作者】 朱水波殷桂林张殿堂胡建才张晓明王荣平谭焱高旭辉刘勇郗二平

【Author】 ZHU Shui-bo,YIN Gui-lin,ZHANG Dian-tang, HU Jian-cai, ZHANG Xiao-ming,WANG Rong-ping,TAN Yan, GAO Xu-hui, LIU Yong,XI Er-ping. Department of Cardiothoracic Surgery, Wuhan General Hospital in Guangzhou Command, Wuhan 430070, China

【机构】 广州军区武汉总医院心胸外科广州军区武汉总医院心胸外科

【摘要】 目的总结在复杂、重症先天性心脏病中实施体外循环心脏跳动下心脏手术的经验。方法收集分析在浅低温体外循环心脏跳动下完成复杂、重症先天性心脏病心脏手术48例,总结防止气栓、术野显露的经验。结果48例患者手术顺利,手术死亡1例(2.08%)。结论在部分复杂、重症先天性心脏病中施行浅低温体外循环心脏跳动下心内直视手术更具有实用价值。

【Abstract】 Objective To discuss the experience of open heart operation on beating in complex and severe congenital heart diseases. Method This kind of operation was put to use in 48 cases of the heart diseases in order to observe the effect of myocardial protection, prevention from air embolism,exposure of the operative field, and cardiopulmonary bypass. Results Operation field exposure was clear enough to finish the manipulation. One cases was eventiful postoperatively and died(2.08%). Conclusion Open heart operation on beating with slight hypothermia might have much feasibility in the part of complicated and severe congenital heart diseases.

【关键词】 先天性心脏病心脏外科
【Key words】 CongenitalHeart diseaseCardiac surgery
  • 【文献出处】 中国医师进修杂志 ,Chinese Journal of Postgraduates of Medicine , 编辑部邮箱 ,2006年11期
  • 【分类号】R726.5
  • 【下载频次】17
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