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排序方式: 共有307条查询结果,搜索用时 390 毫秒
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HELEN HØGH PETERSEN XU CHEN ADRIAN PIETERSEN JESPER HASTRUP SVENDSEN STIG HAUNSØ 《Pacing and clinical electrophysiology : PACE》1998,21(1):322-326
This study was designed to investigate the effect of the convective cooling of the tip of the ablation electrode during temperature controlled radiofrequency ablation. In vivo two different application sites in the left ventricle of anaesthetised pigs were ablated and in vitro ablation was performed during two different flow-velocities in a tissue bath, while electrode contact pressure and position were unchanged. Target temperature was 80 °C. Obtained tip temperature, power consumption and lesion dimensions were measured. In vivo lesion volume, depth and width were found significantly larger for septal applications than apical applications (p<0.01) and more power was used (p<0.001). Obtained tip temperature was significantly lower in the septal applications (p<0.001). In vitro increased convective cooling by induction of flow yielded larger lesion volume, depth and width (p<0.01), and had higher power consumptions (p<0.01). Obtained tip temperature did not differ significantly. For the given chosen target temperature power consumption was positively related to lesion volume (r= 0.66 in vivo and 0.65 in vitro), whereas obtained tip temperature was not (r = - 0.49 in vivo and - 0.61 in vitro). We conclude that during temperature controlled radiofrequency ablation lesion size differs for septal and apical left ventricular applications. Differences in convective cooling might play an important role in this respect. This is supported by our in vitro experiments, where increased convective cooling by induction of a flow around the electrode tip increases lesion dimensions and power consumptions. Furthermore we conclude that for the given target temperature the power consumption is positively correlated with lesion volume (p<0.001), whereas the obtained tip temperature is not. 相似文献
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Hemodynamic significance of the paraumbilical vein in portal hypertension: assessment with duplex US 总被引:3,自引:0,他引:3
Mostbeck GH; Wittich GR; Herold C; Vergesslich KA; Walter RM; Frotz S; Sommer G 《Radiology》1989,170(2):339-342
Hemodynamic evaluation of portal and umbilical venous flow with duplex ultrasound (US) was performed in 11 patients with cirrhosis of the liver and a large umbilical vein. Two of these patients had hepatofugal flow in the umbilical vein exceeding hepatopetal flow in the portal vein. These two patients had no evidence of esophageal varices and bleeding. The remaining nine patients had esophageal varices. In these patients, the hepatopetal flow in the portal vein exceeded the hepatofugal flow through the umbilical vein. The authors conclude that duplex US may help identify the massive hepatofugal flow through a large umbilical vein that may reduce the likelihood of esophageal varices and variceal bleeding. 相似文献
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目的为了进一步保证巨乳缩小术后乳头乳晕的血供和感觉,减少手术并发症。方法设计应用乳房下真皮单蒂瓣,并保留部分乳腺组织的垂直乳腺蒂,及切除的乳腺组织位于乳房下方两侧的巨乳缩小术,自1994年1月至1995年11月,为67例(132侧)巨乳患者在法国斯德拉斯堡欧洲美容整形诊所进行治疗。结果术后全部患者无乳头乳晕并发症,感觉正常。结论结合乳腺垂直蒂和乳房下真皮单蒂瓣的改良巨乳缩小术,不但可以确保乳头乳晕的血供,且可减少感觉损伤,降低手术并发症,及提供良好形态。 相似文献
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Diagnostic laparoscopy by physicians: we should do it 总被引:1,自引:0,他引:1
Only a few centres in the UK practise diagnostic laparoscopy and liver
biopsy; in comparison, laparoscopy is widely practised by physicians in
Europe, the Far East and in the US. We consider the role of diagnostic
laparoscopy in the assessment of liver disease in the 1990s, and describe
the technique of laparoscopy, including how it may be performed safely in
the endoscopy suite, under local anesthesia with mild sedation and
analgesia, enabling direct visualization of the liver. We examine potential
complications and contraindications. Complication rate and mortality are
similar to that for percutaneous liver biopsy. Finally, the invaluable role
of laparoscopy in diagnosing and staging chronic hepatitis, cirrhosis,
liver tumours, hepatic infiltration, infection and structural abnormalities
is considered.
相似文献
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