| 外科经胸封堵治疗动脉导管未闭 |
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| 引用本文： | 曾文,孟旭,张纯,李岩,许春雷,贾一新.外科经胸封堵治疗动脉导管未闭[J].心肺血管病杂志,2011,30(4):325-327. |
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| 作者姓名： | 曾文 孟旭 张纯 李岩 许春雷 贾一新 |
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| 作者单位： | 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,心外科,北京,100029 |
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| 摘 要： | 目的:评价外科经胸封堵术治疗动脉导管未闭(PDA)的临床疗效和安全性.方法:2010年2月至2010年11月,完成23例经胸PDA封堵术.其中13例为小切口(小切口组),左胸骨旁第2肋间3～5 cm小切口;10例常规正中大切口(大切口组).于主肺动脉前壁缝2个荷包,在食道超声引导下将输送装置穿刺送入降主动脉释放直径大于...
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| 关 键 词： | 心脏外科手术 动脉导管未闭 外科经胸封堵 小切口 先天性心脏病 |
Trausthoracic occlusion for patent ductus arteriosus |
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| ZENG Wen,MENG Xu,ZHANG Chun,LI Yan,XU Chualei,JIA Yixin.Trausthoracic occlusion for patent ductus arteriosus[J].Journal of Cardiovascular and Pulmonary Diseases,2011,30(4):325-327. |
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| Authors: | ZENG Wen MENG Xu ZHANG Chun LI Yan XU Chualei JIA Yixin |
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| Institution: | ZENG Wen,MENG Xu,ZHANG Chun,LI Yan,XU Chunlei,JIA Yixin Department of Cardiac Surgery,Capital Medical University affiliated Anzhen Hospital,Beijing Institute of Heart Lung and Blood Vessel Disease,Beijing 100029,China |
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| Abstract: | Objective:To evaluate the efficacy and safety of transthoracic occlusion for patent ductus arteriosus(PDA).Methods:From January to November in 2010,13 patients with PDA received mini-incision transthoracic occlusion of PDA(mini-incision group) and 10 patients received conventional incision occlusion(conventional incision group) under the guidance of transesophageal ultrasonography in our hospital.Results:Compared these two groups,patients in the mini-incision group had a smaller incision(3.3±0.7) cm vs.(20.2±1.9) cm,t=-29.384,P=0.000],shorter operation time (96.9±39.0) min vs.(150.0±45.5) min,t=-3.011,P=0.007],less bleeding during operation (139.2±147.4) mL vs.(300.0±149.0) mL,T=164>T0.01(10,3),P<0.01],shorter hospital stay(8.4±1.9) d vs.(11.5±3.0) d,t=-3.053,P=0.006],and less hospital expenses (35 037.2±8 956.1) RMB vs.(45 382.2±9 902.6)RMB,t=-2.624,P=0.016].Conclusion:Mini-incision transthoracic occlusion is safe,reliable,and easy to handle for PDA. |
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| Keywords: | Cardiac surgeical procedures Mini-incision transthoracic occlusion Patent ductus arteriosus Transesophageal echocardiography Congenital heart diseases |
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