| 重度肺动脉瓣狭窄147例外科治疗 |
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| 引用本文： | 张子力,韩涛,翁国星,陈同,陈雷,姚祖武.重度肺动脉瓣狭窄147例外科治疗[J].福建医药杂志,2010,32(3):3-4. |
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| 作者姓名： | 张子力 韩涛 翁国星 陈同 陈雷 姚祖武 |
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| 作者单位： | 福建省立医院福建省心血管病研究所心外科,福州,350001 |
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| 摘 要： | 目的总结重度肺动脉瓣狭窄外科治疗的临床经验。方法对147例重度肺动脉瓣狭窄患者在平行体外循环下施行外科手术治疗,其中肺动脉瓣切开术32例,右室流出道跨瓣环心包补片115例。结果全组术后死亡4例,死亡原因为低心排综合症。其余手术顺利,术后恢复良好。结论充分解除右室流出道梗阻,合理加宽肺动脉是手术成功的关键。自体心包补片加宽右室流出道及肺动脉,能有效解决流出道梗阻及肺动脉狭窄,并可预防残余梗阻的发生。
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| 关 键 词： | 肺动脉瓣狭窄 外科手术 |
Surgical treatment of 147 cases of severe pulmonary valve stenosis |
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| ZHANG Zi-li,HAN Tao,WENG Guo-xing,CHEN Tong,CHEN Lei,YAO Zu-wu.Surgical treatment of 147 cases of severe pulmonary valve stenosis[J].Fujian Medical Journal,2010,32(3):3-4. |
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| Authors: | ZHANG Zi-li HAN Tao WENG Guo-xing CHEN Tong CHEN Lei YAO Zu-wu |
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| Institution: | ZHANG Zi-li,HAN Tao,WENG Guo-xing,CHEN Tong,CHEN Lei,YAO Zu-wu.Department of Cardiovascular Surgery,Fujian Province Cardiovascular Diseases Reserch Institution,Fujian Provincial Hospital,Fuzhou 350001,China |
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| Abstract: | Objective To sum up the clinical experience of 147 cases of severe pulmonary valve stenosis.Methods One hundred and fourty-seven cases of severe pulmonary valve stenosis received radical correction of severe pulmonary valve stenosis,32 cases underwent pulmonary valvotomy,115 cases underwent transannular right ventricular outflow tract with pericardium patch enlargement in.Results There were four postoperative deaths.The causes of death were serious low cardiac output.The operation of the rest was successful... |
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| Keywords: | Pulmonary valve stenosis Surgery |
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