外科微创封堵术治疗继发孔房间隔缺损的临床应用 |
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引用本文: | 刘胜中,丛伟,曾富春,甘崇志,耕噶.外科微创封堵术治疗继发孔房间隔缺损的临床应用[J].四川医学,2010,31(2):173-175. |
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作者姓名: | 刘胜中 丛伟 曾富春 甘崇志 耕噶 |
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作者单位: | 四川省人民医院心胸外科,四川,成都,610072 |
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摘 要: | 目的总结外科微创封堵术治疗继发孔房间隔缺损(ASD)的临床应用经验,评价其安全性和疗效。方法全组9例,ASD直径14~31mm。均在全麻下经右胸第4肋间隙胸骨旁2—3cm小切口进胸,再经食管心脏彩超(TEE)引导下经输送器置入封堵器。结果9例手术均成功,1例术后3h封堵器脱落,换用大号封堵器后再次封堵成功。全组术后无并发症发生,术后2~6d出院;经1~10个月随访,无残余分流发生,右房、室缩小,肺动脉压明显降低,心功能改善。结论外科微创封堵术治疗ASD创伤小、术后恢复快,且安全、有效,值得临床推广应用。
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关 键 词: | 房间隔缺损 继发孔 微创外科 封堵器 |
The clinical application of mini-invasive surgery to close secundum atrial septal defect with special occluder device |
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Institution: | LIU Sheng-zhong , CONG Wei, ZENG Fu-chun, et al.( The People's Hospital of Sichuan, Chengdu, Sichuan 610072, China) |
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Abstract: | Objective To summarize the experience of mini-invasive surgery to close secundum atrial septal defect(ASD) with special occluder device and to evaluate its safety and efficacy.Methods 9 cases of patient with ASD were treated by mini-invasive surgery.The diameter of ASD was 14 to 31mm.All patients were anaesthetized generally and a 2 to 3cm long incision was made in the fourth intercostals space of right side of sternum.ASD was closed with special occluder device under transesophageal echocardiography(TEE) g... |
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Keywords: | atrial septal defect close secundum mini-invasive surgery occluder |
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