| 室间隔缺损修补途径与术后早期心功能变化的多普勒超声研究 |
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| 引用本文： | 金旭宇,张善通,林其珊.室间隔缺损修补途径与术后早期心功能变化的多普勒超声研究[J].复旦学报(医学版),1992(5). |
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| 作者姓名： | 金旭宇 张善通 林其珊 |
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| 作者单位： | 上海医科大学儿科医院心胸外科
(金旭宇，张善通)，上海医科大学儿科医院心胸外科(林其珊) |
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| 摘 要： | 以多普勒超声心动图技术评价42例室间隔缺损修补途径与术后早期心功能变化的关系。结果表明,经右室切口修补组术后早期右室收缩功能,和左室舒张及收缩功能受损程度明显加重,且恢复延迟。因此采用经右心房或肺动脉切口修补,有助于减少术后心力衰竭的发生。
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| 关 键 词： | 室间隔缺损 修补途径 心室功能 多普勒超声心动图 |
DOPPLER ECHOCARDIOGRAPHIC ASSESSMENT OF EARLY POSTOPERATIVE VENTRICULAR FUNCTION: A COMPARISON OF DIFFERENT REPAIRING APPROACHES FOR VENTRICULAR SEPTUM DEFECT |
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| Jin Xuyu,Zhang Shantong,Lin Qishan.DOPPLER ECHOCARDIOGRAPHIC ASSESSMENT OF EARLY POSTOPERATIVE VENTRICULAR FUNCTION: A COMPARISON OF DIFFERENT REPAIRING APPROACHES FOR VENTRICULAR SEPTUM DEFECT[J].Fudan University Journal of Medical Sciences,1992(5). |
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| Authors: | Jin Xuyu Zhang Shantong Lin Qishan |
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| Abstract: | The relationship of different repairing approaches and their early postoperative ventricular function were investigated in 42 cases of ventricular septum defect by Doppler echocardiography. In the group (n=22) repaired by ventricul-otomy, early postoperative EPEP/RVET was twice as long as in that group (n= 20) repaired by right atrial or main pulmonary artery and also recovered significantly slower. Diastolic filling (E/A) and contractibility (LPEP/LVET) of the left ventricle were significantly correlated with EPEP/EVET. These results, suggest a nonventricular approach to be beneficial in lessening early postoperative ventricular dysfunction. |
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| Keywords: | ventricular septum defect repair approach ventricular function Doppler echoeardiography |
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