| 室缺并重度肺高压的围手术期处理 |
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| 引用本文： | 杨再珍,胡殿宇,范书润,冯光强,邢志嵩,王攀.室缺并重度肺高压的围手术期处理[J].医学信息,2006,19(4):22-24. |
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| 作者姓名： | 杨再珍 胡殿宇 范书润 冯光强 邢志嵩 王攀 |
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| 作者单位： | [1]郑州大学第五附属医院心脏外科,河南郑州450052 [2]郑州铁路职业技术学院医学分院外科,河南郑州450052 |
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| 摘 要： | 目的 探讨室缺合并重度肺动脉高压的围手术期处理方法。方法 手术前静脉应用前列腺素E1一周；术中应用顺单向活瓣补片修补室缺；术后再静脉应用前列腺素E1两周。结果 符合诊断的病人21例，围术期死亡2例，19例安全渡过围手术期出院。结论 术前静脉应用前列腺素E1,术后应用前列腺素E1等药物和呼吸机治疗是该类病人顺利恢复的重要因素.
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| 关 键 词： | 室间隔缺损 肺动脉高压 围手术期处理 |
Perioperative management of ventricular septal defect with severe pulmonary hypertension |
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| YANG Zai-zhen, HU Dian-yu, FAN Shu-run,et al..Perioperative management of ventricular septal defect with severe pulmonary hypertension[J].Medical Information,2006,19(4):22-24. |
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| Authors: | YANG Zai-zhen HU Dian-yu FAN Shu-run |
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| Institution: | Department of Cardio -Thoracic Surgery,the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China |
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| Abstract: | Objective To study the perioperative management of ventricular septal defect(VSD).Methods 1.prostaglandinE_1(PGE_1)Can be used one week before the operation and two weeks after the operation;2.unidirectional valve patch(UVP)were used to repair theVSD;3.All the patients were treated by ventilation therapy and respiratory care.Results There were 2cases dead in the early postoperative period,the other 19 cases survived well except 5 cases which were remained with right bond-branch-block(RBBB).Conclusions Applying of PGE_1 and ventilator is an important fact to preserve the patients to be survived safely. |
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| Keywords: | ventricular septal defect pulmonary hypertension perioperative management |
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