| 动脉导管未闭封堵术后溶血(附3例报告及文献复习) |
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| 引用本文： | 马宁,蒋世良,赵世华,凌坚,金敬琳,张庆桥,胡海波,谢若兰.动脉导管未闭封堵术后溶血(附3例报告及文献复习)[J].中国医学影像技术,2003,19(2):211-212. |
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| 作者姓名： | 马宁 蒋世良 赵世华 凌坚 金敬琳 张庆桥 胡海波 谢若兰 |
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| 作者单位： | 中国医学科学院中国协和医科大学,心血管病研究所,阜外心血管病医院放射科,北京,100037 |
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| 摘 要： | 目的：探讨动脉导管未闭（PDA）封堵术后溶血的发生原因和处理方法。方法：3例患者，PDA最窄处直径分别为7.5mm、１０mm和１１mm，经静脉途径置入10/8、16/14mm直径AmplatzerPDA封堵器和18mm直径Amplatzer房间隔封堵器。结果：3例患者分别于术后17h、18h和55min发生溶血。分别采用手术、药物治疗及取出封堵器的方法，患者溶血均消失。结论：PDA封堵术后溶血的发生与术后残余分流有关，及时有效地处理后疗效满意。
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| 关 键 词： | 动脉导管未闭 封堵术 溶血 疗效 影像学诊断 病例报告 |
| 文章编号： | 1003-3289(2003)02-0211-02 |
| 收稿时间： | 9/9/2002 12:00:00 AM |
| 修稿时间： | 2002年9月9日 |
Hemolysis after Transcatheter Occlusion of Patent Ductus Arteriosus |
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| MA Ning,JIANG Shi-liang,ZHAO Shi-hua.Hemolysis after Transcatheter Occlusion of Patent Ductus Arteriosus[J].Chinese Journal of Medical Imaging Technology,2003,19(2):211-212. |
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| Authors: | MA Ning JIANG Shi-liang ZHAO Shi-hua |
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| Institution: | Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China;Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, BeiJing 100037, China |
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| Abstract: | Objective To evaluate the cause and treatments of hemolysis after occlusion of patent ductus arteriosus (PDA). Methods Three patients suffered from PDA with the minimum diameter being 7.5,10 and 11mm.Two Amplatzer PDA occluders (10/8,16/14mm) and an 18mm ASD Amplatzer were implanted by transvenous route. Results In each 17h,18h and 55min after occlusion,the patients developed hemolysis.The hemolysis was resolved after surgery,conservative therapy and retrieval of the device respectively. Conclusion Hemolysis is strongly related to the occurrence of residue after PDA occlusion.With appropriate treatments,the prognosis of hemolysis is satisfatory. |
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| Keywords: | Patent ductus arteriosus Occlusion interventional Hemolysis |
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