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131例心脏直视手术的体会
引用本文:陈建华,周久华,余兵,丁宁,王可兵.131例心脏直视手术的体会[J].皖南医学院学报,2005,24(4):285-287.
作者姓名:陈建华  周久华  余兵  丁宁  王可兵
作者单位:1. 合肥市第一人民医院,胸心外科,安徽,合肥,230061
2. 安徽医科大学第一附属医院,胸外科,安徽,合肥,230032
摘    要:目的总结131例先天性和后天性心脏病在体外循环下行心内直视手术的外科治疗经验。方法机械瓣膜置换术33例,其他多为先天性心脏病纠治术。结果院内死亡1例(0.76%),主要并发症:出血,低心排出量综合征,心包填塞,心律失常,肺炎肺不张。结论术中处置得当,术后严密监护,是手术成功的关键。

关 键 词:体外循环  心脏手术
文章编号:1002-0217(2005)04-0285-03
收稿时间:2005-01-24
修稿时间:2005年1月24日

Experience of open heart surgical treatment in 131 cases
CHEN Jian-hua,ZHOU Jiou-hua,YU Bing,DING Ning,WANG Ke-bing.Experience of open heart surgical treatment in 131 cases[J].Acta Academiae Medicinae Wannan,2005,24(4):285-287.
Authors:CHEN Jian-hua  ZHOU Jiou-hua  YU Bing  DING Ning  WANG Ke-bing
Abstract:Objective- To review the experience of surgical treatment of congenital and acquired heart diseases in 131 cases with cardiopulmonary bypass approach. Methods- 33 patients were undergone mechanical valve replacement, the others were performed routine congenital heart disease operation. Results- The hospital mortality was (0.76%) (1/131),The leading complications were bleeding, low cardiac output syndrome, pericardial tamponade, cardiac arrhythmia , pneumonia and atelectasis. Conclusion- Both appropriate deal in the operation and careful postoperative care can make sound surgery.
Keywords:cardiopulmonary bypass  heart surgical procedures
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