共查询到19条相似文献,搜索用时 91 毫秒
1.
2.
3.
目的:总结10 kg以下婴幼儿室间隔缺损(VSD)的外科治疗经验。方法:全组36例均在体外循环下心停跳行室缺修补术。均采用绦纶或自体心包片修补缺损,无直接缝合。结果:全部治愈出院,术后主要并发症为肺部感染5例,肺不张4例,心律失常2例,残余分流2例。结论:婴幼儿室缺伴反复感染、肺动脉高压或心功能不全宜及早手术治疗,完善和提高手术技巧、加强术后监护是治疗成功的关键。 相似文献
4.
5.
6.
7.
室间隔缺损(VSD)为最常见的先天性心脏病,发病率约占小儿先天性心脏病的25%~40%,部分小的VSD患者6岁前可自然闭合,大部分需手术治疗。VSD系胚胎期室间隔发育不全而形成的单个或多个缺损,由此产生左心室与右心室的异常交通。总结我院ICU收治的16例VSD患儿的临床资料,探讨体外循环下儿童VSD修补术后监护技术。 相似文献
8.
9.
目的:总结112例先心病室缺的外科治疗体会。方法:手术在全麻浅低温和体外循环下进行,采用胸骨正中切口,对室缺直径小于10mm者多直接缝闭,大于10mm者补片修补。结果:术后30d内死亡1例(0.89%),发生各种并发症3例(2.68%),无远期死亡病例及并发症。结论:先心病室缺外科治疗效果满意,对较大缺损,引起心脏改变者应尽早手术。 相似文献
10.
目的:观察心理干预对手术病人机体免疫功能的影响。方法:外科手术平价随机分为心理干预组(PIG,n=10)和非心理干预组(NPIG,n=10),另取10例健康人作正常对照(HG)。使用症状自评量表(SCL-90)进行临床心理测定:采用比浊法测定血清免疫球蛋白(IgG、IgA和IgA),采用单克隆抗体法检测淋巴细胞亚群(CD3、CD4、CD8)在外周血淋巴细胞中的百分率。结果:外科手术病人的SCL-90因子均大于中国常模(CN),PIG病人的SCL-90因子均分低于NPIG。外科手术病人的血清IgG、IgA和IgM的含量和外周血CD3+CD4+细胞百分数和CD4+/CD8+比值均低于HG,PIG病人的血清IgG、IgA和IgM的含量和外周血CD3+CD4+细胞百分数和CD4+CD8/+比值均高于NPIG。结论:外科手术病人往往合并有心理变化,患者的心理健康状态对其免疫功能有明显影响。积极的心理治疗改善患者的免疫功能并促进术后免疫功能的恢复。 相似文献
11.
12.
[目的]探讨婴幼儿室间隔缺损(VSD)合并重度肺动脉高压(PH)外科治疗的手术适应证、手术时机、手术技术及围术期的处理.[方法]46例VSD耍幼儿,均合并重度PH,合并卵圆孔未闭(PF0)及房间隔缺损(ASD)32例,2例合并动脉导管未闭(PDA).主动脉瓣下VSD 30例,膜周部VSD16例.全部患儿均在中低温、中低流量体外循环下进行手术,VSD均采取补片修补,ASD和PDA予以直接缝合.[结果]死亡3例,手术病死率为2.9%,Ⅲ度房室传导阻滞1例,1例存在3 mm残余漏.所有患儿术后3个月至1年随访,生长发育好.[结论]合并重度PH的VSD患者儿,尽早行手术治疗,并且手术是安全的. 相似文献
13.
TADAYOSHI HATA M.D. PH.D. SEIKO MANO† MASAFUMI KUSUKI HIDEAKI MATSUURA† MASAFUMI MIYATA M.D. PH.D. ‡ TOSHIO YAMAZAKI M.D. PH.D. ‡ SYUNJI NAGAOKA PH.D. § 《Pacing and clinical electrophysiology : PACE》2007,30(S1):S212-S214
Background: We hypothesized that patients with atrial (ASD) and ventricular septal defects (VSD) have similarly reduced heart rate variability (HRV) since both defects cause similar increases in pulmonary blood flow and right ventricular filling pressure. We examined the correlation between HRV and respiratory frequency (RSA) characteristics and left-to-right shunt ratio (Qp/Qs) measured by Doppler echocardiography.
Methods: The study included 83 patients with diagnoses of ASD (n = 43) or VSD (n = 40). The electrocardiogram and respiratory waves were recorded during Doppler echocardiography test, and HRV was measured to calculate the low frequency (LF), high frequency (HF), total frequency (TF), and RSA components, and the LF/HF, RSA/TF, and LF/RSA ratios. Qp/Qs was calculated from Doppler echocardiography and its relationship with HRV parameters was examined by multivariate analysis.
Results: There was a positive correlation between Qp/Qs and LF/RSA in the ASD group, and a negative correlation in the VSD group. In contrast, Qp/Qs correlated negatively with RSA/TF in the ASD group, and positively in the VSD group.
Conclusion: Different effects of respiratory vagal activity on HRV were observed in patients with ASD versus VSD. 相似文献
Methods: The study included 83 patients with diagnoses of ASD (n = 43) or VSD (n = 40). The electrocardiogram and respiratory waves were recorded during Doppler echocardiography test, and HRV was measured to calculate the low frequency (LF), high frequency (HF), total frequency (TF), and RSA components, and the LF/HF, RSA/TF, and LF/RSA ratios. Qp/Qs was calculated from Doppler echocardiography and its relationship with HRV parameters was examined by multivariate analysis.
Results: There was a positive correlation between Qp/Qs and LF/RSA in the ASD group, and a negative correlation in the VSD group. In contrast, Qp/Qs correlated negatively with RSA/TF in the ASD group, and positively in the VSD group.
Conclusion: Different effects of respiratory vagal activity on HRV were observed in patients with ASD versus VSD. 相似文献
14.
15.
超声心动图评价房间隔缺损患者左心室收缩功能 总被引:10,自引:2,他引:10
用超声心动图检测28例继发孔型房间隔缺损(ASD)患者及40例正常人左心室收缩功能(LVSF)。结果表明:ASD患者左室射血分值(LVEF)、短轴缩短分数(LVFS)、每搏量(SV)、心输出量(CO)、主动脉瓣口血流速度(AV)、速度时间积分(AVI)均较正常人明显降低(P<0.001~0.05),左室射血前期(LPEP)延长(P<0.01)、射血时间(LVET)缩短(P<0.05)、LPEP/LVET增大(P<0.01),且LVEF、LVFS、SV、CO、AV、AVI与肺/体循环量比值(Qp/Qs)呈中度负相关(r=-0.39~-0.78,P<0.05)。结论认为:ASD患者LVSF存在一定程度的减退,并推测其机理可能与ASD患者因右室容量超荷所致的左室扩张性降低、舒张末容积减小、室间隔运动异常及左室几何形态改变等有关 相似文献
16.
目的:探讨应用组织多普勒显像技术测量右室Te i指数(TD I-Te i)评价房间隔缺损(ASD)患者手术前后右室功能的临床价值。材料与方法:应用组织多普勒显像技术测定42例健康对照者及44例ASD患者手术前后1周右室Te i指数,并行常规超声心动图检查。结果:ASD患者术后1周右房、右室、右室流出道、肺动脉内径缩小(P〈0.05);ASD患者术前右室Te i指数较对照组明显高,术后右室Te i指数较术前降低。结论:ASD患者手术后右心功能明显好转,TD I-Te i指数可以较敏感地反映ASD患者手术前后右心室功能的变化,是评价其右室整体功能的较好指标。 相似文献
17.
【目的】评价经导管介入治疗先天性膜周部室间隔缺损(VSD)的疗效和安全性。【方法】20例VSD患者术前由经胸超声心动图确诊,在透视及经胸超声心动图监视下经导管置入室缺封堵器封堵VSD,术后1、3、6个月分别行经胸超声心动图、心电图评价治疗效果。【结果】20例VSD患者术中经左心室造影明确缺损直径为3~9.5(5.60±2.55)mm,成功封堵20例,封堵成功率100%,手术并发症发生率10%(2/20),封堵术后3个月超声复查左室舒张末径较术前明显缩小。【结论】经导管治疗膜周部VSD是一种成功率较高、并发症少、疗效可靠的介入治疗方法。 相似文献
18.
目的应用三维超声心动图(3-DE)评价房间隔缺损患者(ASD)右心室功能.方法采用3-DE圆盘总合法测量22例ASD(ASD组)患者右室功能,与20例正常人(对照组,CON组)心功能作了对比,并探讨了ASD患者中的14 例手术者(手术组)手术前后右心室功能情况.结果 ASD组RVEDV、RVESV、RVSV均大于CON组,RVEF则明显低于CON组.同时发现ASD组RVEF与Qp/Qs呈中度负相关(r=-0.53,P<0.05).ASD组手术后RVEDV、RVESV、RVSV均较术前明显减小,RVEF较术前明显增加.结论 ASD患者右心室功能确有减退,且与分流量有关,手术修补ASD可以使心功能得到改善并防止心功能持续恶化. 相似文献