| 生物心瓣膜毁损的再手术治疗 |
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| 引用本文： | 石应康 田子朴. 生物心瓣膜毁损的再手术治疗[J]. 中国胸心血管外科临床杂志, 1997, 4(1): 6-8 |
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| 作者姓名： | 石应康 田子朴 |
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| 作者单位： | 华西医科大学附属第一医院胸心外科 |
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| 摘 要： | １９８８～１９９６年对２８例生物心瓣膜失去功能者施行再次瓣膜置换手术。其中二尖瓣置换２６例，主动脉及双瓣膜置换各１例。结果：术后全组死亡５例，住院死亡率１７．８６％；２３例痊愈出院。结论：再换心脏瓣膜手术应选择适宜的手术时机、提高手术技巧、完善心肌保护，以减少心脏大血管损伤与意外出血，预防神经系统并发症。
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| 关 键 词： | 生物瓣 瓣膜置换 再手术 风湿性心脏病 |
Reoperation for Primary Tissue Failure of Bioprostheses |
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| Shi Yingkang,Tian Zipu,Huang Xuzhong,et al.. Reoperation for Primary Tissue Failure of Bioprostheses[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 1997, 4(1): 6-8 |
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| Authors: | Shi Yingkang Tian Zipu Huang Xuzhong et al. |
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| Affiliation: | Shi Yingkang,Tian Zipu,Huang Xuzhong,et al. Department of Cardiothoracic Surgery,The First University Hospital,West China University of Medical Science,Chengdu 610041 |
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| Abstract: | From 1988 to 1996, 28 patients underwent valve rereplacement for primary tissue failure of bioprostheses. Five of them died postoperatively in the hospital. The hospital mortality was 17.86%. The timing of operation, myocardial protection, and the detailed surgical technic such as operative approach, method of preventing perioperative bleeding and neurological complication are discussed. |
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| Keywords: | Bioprosthese Valve replacement Reoperation Rheumatic heart disease |
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