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本文报告环缝结扎法处理肺切除支气管残端的临床结果。在400例包括肺结核、肺癌和肺慢性化脓症等的肺切除术中处理了469例次支气管,按病例数计算,具有严重危害性的并发症,术后支气管胸膜瘘的发生率减到0.25%而且未见发生于主或大的支气管。本文强调本方法优点,并认为成功的关键在于将老式的开放处理方法改进为闭合式,避免了截断支气管时,支气管分泌物的外喷污染胸膜腔和缝线穿过有高度感染性的管腔的不良后果。 相似文献
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我院胸外科从1978年5月至1986年8月外科手术治疗法乐氏三联症19例(其中重型的11例),现报道如下。 相似文献
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先天性冠状动脉瘘是一种罕见的冠状动脉发生学上形态畸形,可单独发生亦可伴有其他先天性心脏病。该病日益引起临床重视。我院共收治6例,均经手术探查明确诊断;5例行了手术,随访疗效满意,本文特介绍和讨论其特点和手术疗法。 相似文献
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报告4例部分房室通道合并双孔二尖瓣均有二尖瓣前瓣裂,导致二尖瓣关闭不全4例均手术修补二尖瓣裂、心包修补原发孔房缺。另有2例行三尖瓣成形术。对双孔二尖瓣在房室通道中的发生率及术中双孔二尖瓣桥状组织的认识和手术中的注意事项进行讨论。 相似文献
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Two methods were employed in the management of 18 patients with mediastinal infec-tions after open-heart surgery in a 10-year-period from 1980 to 1989.The first 3 cases weretreated with local debridement and drainage of the involved areas.Of them,1 was cured and 2 de-veloped chronic osteomyelitis of the sternum with an average hospitalization of 91 d.The other 15cases were treated with radical debridement and closed retrosternal irrigation of antibiotic solutions.Fourteen out of the 15 cases were successfully cured with an average hospitalization of 15d and 1case suffered from a recurrence of infection.No hospital mortality occurred in this series and 2 latedeaths were not related to mediastinal infections.It is believed by the authors that radicaldebridement in association with retrosternal irrigation is a far much better method than localdebridement combined with drainage in the management of mediastinal infections afteropen-heart surgery. 相似文献
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报告施行室间隔缺损修补术的经验,着重对手术指征、降低室缺合并重度肺动脉高压手术死亡率和妥善处理合并畸形进行讨论。 相似文献
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