| 心脏移植术后多普勒超声引导下的心内膜心肌活检 |
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| 引用本文： | 吴锡阶,廖崇先,陈道中,孙旭东,翁钦永,李增棋,廖东山.心脏移植术后多普勒超声引导下的心内膜心肌活检[J].中华器官移植杂志,2004,25(1):30-31. |
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| 作者姓名： | 吴锡阶 廖崇先 陈道中 孙旭东 翁钦永 李增棋 廖东山 |
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| 作者单位： | 350001,福州,福建医科大学附属协和医院心外科 |
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| 摘 要： | 目的 评估心脏移植术后在多普勒超声引导下行心内膜心肌活检的应用价值。方法 在心脏移植术后不同时期对8例心脏移植患者共行16次(每例2次)多普勒超声引导下的心内膜心肌活检，活检取材在手术室进行，取材部位为右心室靠近心尖处以及室间隔的右心室面。结果 8例患者中，3例分别于术后第18个月、第24个月和第32个月发生急性排斥反应，其他患者病理诊断为轻度慢性排斥反应。16次取材，无一例发生并发症。结论 在多普勒超声引导下行心内膜心肌活检可以节省费用，减少X线的照射，是一种可行、安全、有效的新方法。
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| 关 键 词： | 心脏移植术 术后 多普勒超声 心内膜 心肌 活组织检查 排斥反应 |
Clinical value of EMB by use of color doppler flow image in heart transplantation |
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| WU Xi-jie,LIAO Chong-xian,CHEN Dao-zhong,et al..Clinical value of EMB by use of color doppler flow image in heart transplantation[J].Chinese Journal of Organ Transplantation,2004,25(1):30-31. |
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| Authors: | WU Xi-jie LIAO Chong-xian CHEN Dao-zhong |
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| Institution: | WU Xi-jie,LIAO Chong-xian,CHEN Dao-zhong,et al. Department of Thoracic and Cardiovascular Surgery,Union Hospital,Fujian Medical University,The Institute of Thoracic and Cardiovascular Surgery,Fuzhou 350001,China |
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| Abstract: | Objective To evaluate the clinical value of the EMB by the use of color Doppler flow image (CDFI) in heart transplantation.Methods Eight patients subject to heart transplantation underwent the EMB two times each in different periods.Results No complications occurred in 8 patients.Conclusion The EMB is the best criterion in the diagnosis of the acute and chronic rejection in heart transplantation and carried out by the conduction of the X-ray. Because every patient has to undergo the EMB in different periods, conceiving of the expensive cost and X-ray radiation, the EMB by using CDFI is secure and feasible. |
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| Keywords: | Heart transplantation Myocardium Biopsy Ultrasonography Doppler |
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