| 心脏跳动中二尖瓣置换术234例临床分析 |
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| 引用本文： | 王学锋,肖颖彬,陈林,钟前进,陈劲进,陈柏成,刘兵,曾祥君.心脏跳动中二尖瓣置换术234例临床分析[J].第三军医大学学报,2001,23(5):511-512. |
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| 作者姓名： | 王学锋 肖颖彬 陈林 钟前进 陈劲进 陈柏成 刘兵 曾祥君 |
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| 作者单位： | 第三军医大学附属新桥医院心血管外科, |
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| 摘 要： | 目的 报告234例浅低温体外循环心脏跳动中二尖瓣替换术经验，完善手术技术。方法 浅低温体外循环（30-32℃），不阻断主动脉，不灌注心脏停搏液，保持心脏缓慢空跳进行二尖瓣替换术，结果 全组234例病人均顺利完成手术，早期死亡2例，手术死亡率0.85%。结论 心脏不停跳二类瓣置换术是一6种安全可行的术式，可有效减轻心脏缺血再灌注损伤，值得进步研究和推广应用。
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| 关 键 词： | 心脏不停跳 二尖瓣置换术 体外循环 浅低温 |
| 文章编号： | 1000-5404(2001)05-0511-02 |
| 修稿时间： | 2001年1月11日 |
Clinical analysis of 234 cases of mitral valve replacement in beating heart |
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| WANG Xue-feng,XIAO Ying-bin,CHEN Lin,ZHONG Qian-jin,CHEN Jin-jin,CHEN Bo-cheng,LIU Bin,ZENG Xiang-jun.Clinical analysis of 234 cases of mitral valve replacement in beating heart[J].Acta Academiae Medicinae Militaris Tertiae,2001,23(5):511-512. |
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| Authors: | WANG Xue-feng XIAO Ying-bin CHEN Lin ZHONG Qian-jin CHEN Jin-jin CHEN Bo-cheng LIU Bin ZENG Xiang-jun |
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| Abstract: | Objective To introduce the technique of mitral v alve replacements in beating heart, and review the clinical experience in 234 ca ses of operation. Methods A total of 234 patients of mitral val ve replacement in beating heart with mild hypothermic extracorporeal circulation (30～32 ℃) were reviewed. Results The procedures underwe nt fluently and only 2(0.85%) died early postoperatively. No low cardiac output , arrhythmia and cer ebral embolism complications was found. Conclusion Results sugg ested that mitral valve replacement in beating heart is a safe and available method and is good in extenuating myocardial and pulmonary i njury from ischemia-reperfusion and deep hypothermia. |
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| Keywords: | beating heart mitral valve replacement cardiopulmonary bypass hypothermia |
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