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心脏移植治疗晚期扩张型心肌病七例报告
引用本文:蓼崇先,李增棋,陈道中,林潮,廖东山,吴锡阶,翁钦永,林峰,陈良万,郭尚耘,杜剑之,林雁娟. 心脏移植治疗晚期扩张型心肌病七例报告[J]. 中华器官移植杂志, 1999, 20(2): 79-81
作者姓名:蓼崇先  李增棋  陈道中  林潮  廖东山  吴锡阶  翁钦永  林峰  陈良万  郭尚耘  杜剑之  林雁娟
作者单位:1. 福建医科大学附属协和医院, 福州,350001
2. 福建省胸心外科研究所心外科
摘    要:
目的探讨提高心脏移植患者存活率的主要因素。方法 1995年8月-1998年9月我们先后为7例终末期扩张型心肌病患者施行了经典式同种异体原位心脏移植手术。结果 6便患者至今存活,且生活质量良好,心功能0-Ⅰ级,均已出院并恢复正常生活与工作近期复查心电图,超声心动图及主内膜心肌活检均未发现明显异常,另1例患者存活7天。结论 选择最佳受体,合适手术方法与良好的供心保护,尽早防治早期移植物功能衰竭等是提高

关 键 词:心脏移植 心肌病 扩张型 病例报告

Orthotopic heart transplantation to treat 7 patients with endstage dilated cardiomyopathy
LIAO Chongxian,LI Zengqi,CHEN Daozhong,et al.. Orthotopic heart transplantation to treat 7 patients with endstage dilated cardiomyopathy[J]. Chinese Journal of Organ Transplantation, 1999, 20(2): 79-81
Authors:LIAO Chongxian  LI Zengqi  CHEN Daozhong  et al.
Affiliation:LIAO Chongxian,LI Zengqi,CHEN Daozhong,et al. Union Hospital,Fujian Medical University,Fuzhou 350001
Abstract:
Objective To explore the important factors that enhance the survival rate of the patients undergoing heart transplantation. Methods From Aug. 1995 to Set.1998, 7 patients with endstage dilated cardiomyopathy underwent standard orthotopic heart transplantation.Results Six patients survived with good quality of life and came back for their work. Their heart function is grade 0 to I (by NYHA). Abnormal signs were not found in these patients by ECG, echocardiography and endocardium-myocardial biopsy. The remaining one case survived for only 7 days after operation. Conclusion Accurate selection for recipient, suitable surgical procedure, excellent myocardial preservation, early prevention and treatment of the graft function failure are important factors for improvement of the survival rate of patients undergoing heart transplantation.
Keywords:Heart/transplantation Cardiomyopathy  dilated
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