经皮冠状动脉腔内成形术失败后急诊冠状动脉旁路移植术二例

经皮冠状动脉腔内成形术失败后急诊冠状动脉旁路移植术二例中国医学科学院中国协和医科大学北京协和医院＊胸心外科于洪泉任华苗齐张志庸孙成孚李泽坚经皮冠状动脉腔内成形术（ＰＴＣＡ）已成为对一些冠状动脉粥样硬化性心脏病（冠心病）患者的首选治疗方法。但这项有创治...     

EARLY AND LATE RESULTS OF TOTAL GASTRECTOMY IN TREATMENT OF ADVANCED ADENOCARCINOMA OF THE CARDIA

Sixty-six patients with advanced adenocarcinoma of the cardia underwent total gastrectomybetween 1978 and 1986.The operative morbidity rate was 7.5% and the hospital mortalityrate (1 month) was 1.5%.The postoperative 1,3,4,and 5 year survival rates were 69%.50.7%,20% and 13.8% respectively.The quality of life after surgery was improved.Patho-logical type,lymph node metastasis,completeness of resectionand postoperative chemotherapywere the main factors influencing postoperative survival time.Indications for total gastrec-tomy and the advantages of transthoracic total gastrectomy are discussed.     

FACTORS AFFECTING REMOVAL AND PROGNOSIS OF THYMIC TUMORS

One hundred and ten cases of thymic tumors were intervened surgically, including 92 thymoma, 8 thymie earcinoid, and 10 thymic carcinoma. In this series, 50. 9 % of the cases were complicated with various syndromes, 44. 5 % with myasthenia gravis (MG). Resection rate was correlated with the size and invasion of the tumor. There was significant difference in resection rate among thymoma, thymic carcinoid and thymic carcinoma. The degree of invasiorl undoubtely influenced on resection. The 3-, 5- and 10- year suvival rate of the thymoma were 82. 7 %, 68. 1 % and 40. 0 %, respectively. The prognosis depended on the pathoioglcal classification and the severity of the neighbouring invasion, but MG had no sianificant effect on prognosis. Recurrence and metastasis of the tumor were the main cause of late death.     

原发性纵隔肉瘤8例报告

原发性纵隔肉瘤比较少见。我院在1961年至1978年手术治疗的120例原发性纵隔肿瘤中,由瘤占8例。本文报告其临床资料,并结合文献进行讨论。 临床资料 8例纵隔原发性肉瘤中,纤维肉瘤3例,淋巴肉瘤,网织细胞肉瘤、纤维脂肪肉瘤、类粘液脂肪肉瘤及平滑肌肉瘤各1例,患者20岁至47岁,平均33岁;男6例,女2例;农民4例,工人2例,学生及军人     

反流性食管炎的外科治疗(摘要)

1961～1976年我科手术治疗反流性食管炎20例.主要临床症状:呕吐、灼心、心窝部痛、暖气、胸骨后痛、反酸,消瘦等。并发慢性出血时有呕血、黑便,贫血等,急性大量出血时有休克.并发狭窄时有吞咽困难,呕吐严重时有脱水、衰竭等。 诊断主要依据:临床表现、X线检查和内腔镜检查。X线主要表现:隔下食管变短、增宽及幕状上牵、胃粘膜上疝,轻者头低脚高时或腹部加压时出现,立位时消失,重者疝囊不     

胸内巨大畸胎囊肿10例报告

首都医院1961～1978年共手术切除40例胸内畸胎瘤及畸胎囊肿,本文分析其中巨大的10例,直径均大于17厘米,最大的1例囊内液体达5000毫升。作者并对该肿瘤为何好发于胸内和并发症发生率较高的原因,以及手术前后注意事项等做了分析讨论。     

A REPORT OF 39 CASES OF BRONCHIOLOALVEOLAR CARCINOMA

ＡＲＥＰＯＲＴＯＦ３９ＣＡＳＥＳＯＦＢＲＯＮＣＨＩＯＬＯＡＬＶＥＯＬＡＲＣＡＲＣＩＮＯＭＡ￥ＲｅｎＨｕａ（任华）；ＬｉＺｅｊｉａｎ（李泽坚）；ＺｈａｎｇＺｈｉｙｏｎｇ（张志庸）；ＳｕｎＣｈｅｎｇｆｕ（孙成孚）ａｎｄＸｕＬｅｔｉａｎ（徐乐天）（Ｄｅｐａ...     

A CLINICAL ANALYSIS OF 38 PATIENTS WITHPRIMARY TRACHEO BRONCHIAL TUMORS

During a 17-year period,38 patients with primary tracheobronchial tumors received surgical treatment in PUMC Hospital.Among the 38,12 had low-malignancy tracheal tumors,11 had benign tracheal tumors,14 had low malignancy bronchial tumors and 1 had a benign bronchial tumor.Fifteen operations were performed on 12 patients with low-malignancy tracheal tumors.including local resection of the tumor and tracheal wall in 4 and curettage of the tumor plus electrical cauterization in 10.Postoperative radiotherapy was used as an adjuvant treatment in 8 patients with adenocysitic carcinoma.Eight patients have survived for more than 5 years and 3 patients have survived for longer than 10 years postoperatively.All 11 patients with benign tumors received cureattage of the tumor and were followed up for an average of 6.5 years.Among them,9 are still alive.Of the 14 patients with low malignancy bronchial tumor,5 underwent curettage of the tumor plus electrical cauterization through incision of the main bronchus or intermedial bronchus,and 7 underwent lobectomy or pneumonectomy .The authors conclude that the correct diagnosis rate can be increased by enhancing recognition of this disease and applying tracheal tomography and bronchoscopy.     

左房血栓的诊治

脑及周围动脉栓塞是左房血栓的一个严重并发症。左房血液郁积及非细菌性心内膜炎是形成左房血栓的主要因素,充血性心衰及房颤能造成动脉栓塞。心脏B超声检查有助于左房血栓的诊断。术前要控制心衰及抗凝治疗,应选用心脏直视手术。5例经手术治疗者疗效满意。