| 介入治疗膜周部室间隔缺损临床分析 |
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| 引用本文： | 龚琪,林薇,王哲,徐振海,谈凌凌,吕会来. 介入治疗膜周部室间隔缺损临床分析[J]. 实用诊断与治疗杂志, 2009, 23(8) |
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| 作者姓名： | 龚琪 林薇 王哲 徐振海 谈凌凌 吕会来 |
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| 作者单位： | 河北医科大学第四医院胸心外科,石家庄市,050011 |
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| 摘 要： | 目的:回顾性分析应用Amplatzer封堵器治疗膜周部室间隔缺损的临床资料,以了解国产Amplatzer封堵器封堵治疗膜周部室间隔缺损的疗效。方法:对84例经超声心动图检查局部解剖结构满足封堵条件的先天性膜周部室间隔缺损患者,在局部麻醉或基础麻醉下行国产Amplatzer封堵器封堵治疗。手术中予以经胸超声心动图和X线监测。封堵成功者进行6~24个月的随访。结果:成功封堵83例(98.8%),1例因术中导引钢丝无法通过室间隔缺损建立轨道,放弃封堵。无死亡。封堵器直径为4~18 mm,1例手术后发生Ⅱ度Ⅱ型房室传导阻滞,2例出现结性心律,经应用肾上腺皮质激素及异丙肾上腺素治疗后好转,3例有少量残余分流,随访过程中无严重并发症出现。结论:在严格掌握指征、规范手术操作方法的前提下,应用国产Amplatzer封堵器封堵膜周部室间隔缺损是一种安全、有效的治疗方法。
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| 关 键 词： | 室间隔缺损 封堵器 介入治疗 |
Clinical analysis of transcatheter closure of perimembranous ventricular septal defects using the Amplatzer occluder |
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| GONG Qi,LIN Wei,WANG Zhe,et al.. Clinical analysis of transcatheter closure of perimembranous ventricular septal defects using the Amplatzer occluder[J]. Journal of Practical Diagnosis and Therapy, 2009, 23(8) |
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| Authors: | GONG Qi LIN Wei WANG Zhe et al. |
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| Affiliation: | GONG Qi,LIN Wei,WANG Zhe,et al.Department of Thoracic , Cardiovascular Surgery,the Fourth Affiliated Hospital,Hebei Medical University,Shijiazhuang 050011,China |
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| Abstract: | Objective To report the result and experiences of percutaneous occlusion using an Amplatzer septal occluder in perimembranous ventricular septal defect.Methods Totally 84 patients with perimembranous ventricular septal defect underwent transcatheter interventional occlusion.After the procedure,all patients with successful occlusion were followed up from 6 to 24 months.Results Occlusion succeeded in 83 cases(98.8%).Guide wire failed to go through ventricular septal defect in one patient.The diameter of Ampla... |
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| Keywords: | Ventricular septal defect occluder interventional therapy |
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