| 先天性心脏病合并重度肺动脉高压的围术期处理 |
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| 引用本文： | 邵换璋,赵根尚,王海永,郭龙辉.先天性心脏病合并重度肺动脉高压的围术期处理[J].河南医学研究,2003,12(3):265-267. |
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| 作者姓名： | 邵换璋 赵根尚 王海永 郭龙辉 |
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| 作者单位： | 1. 河南省平顶山市第一人民医院胸心外科,河南平顶山,467000
2. 郑州大学第二附属医院心外科,河南郑州,450003 |
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| 摘 要： | 目的 :探讨先心病合并重度肺动脉高压的围术期处理。方法 :2 0 0 1年 9月至 2 0 0 3年 6月 19例先心病合并重度肺动脉高压的患者在术前、术中、术后给予加强心肺保护的综合措施 ,如吸氧、静脉注射前列腺素E1、采用膜肺、适当延长呼吸机支持时间等。结果 :全组 19例患者围术期 1例因右心衰死亡 ,死亡率5 2 6%。其余患者术后心功能不同程度改善 ,与术前相比有明显差异 (P <0 0 5 )。结论 :围术期综合治疗可有效降低围术期死亡率
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| 关 键 词： | 先心病 肺动脉高压 围术期处理 |
| 文章编号： | 1004-437X(2003)03-0265-03 |
| 修稿时间： | 2003年7月9日 |
The perioperative management of the congenital heart disease and severe pulmonary hypertension |
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| SHAO Huan-zhang ,ZHAO Gen_shang ,WANG Hai_yong ,GUO Long_hui.The perioperative management of the congenital heart disease and severe pulmonary hypertension[J].Henan Medical Research,2003,12(3):265-267. |
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| Authors: | SHAO Huan-zhang ZHAO Gen_shang WANG Hai_yong GUO Long_hui |
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| Institution: | SHAO Huan-zhang 1,ZHAO Gen_shang 2,WANG Hai_yong 2,GUO Long_hui 2 |
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| Abstract: | Objective: To study the problems on the perioperative management of the congenital heart disease and severe pulmonary hypertension.Methods: From September 2001 to June 2003,19 patients received surgical repairs under cardiopulmonary bypass.During the perioperating time,they all received a set of treatments,such as oxygen,injecting PGE 1,using membranous oxygenation,and longer the ventilation support time.Results: Only 1 case died of right heart failure.The perioperative mortality was 5.26%.The heart function of the other cases was improved markedly.Conclusion: Combined managements can significantly decrease the perioperative mortality. |
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| Keywords: | congenital heart disease pulmonary hypertension perioperative management |
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