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室间隔缺损合并严重肺动脉高压的外科治疗
引用本文:汪曾炜,费诚鉴,孙立志,徐凤翔,朱洪玉,宫汉东,张南滨,王维新. 室间隔缺损合并严重肺动脉高压的外科治疗[J]. 解放军医学杂志, 1988, 0(5)
作者姓名:汪曾炜  费诚鉴  孙立志  徐凤翔  朱洪玉  宫汉东  张南滨  王维新
作者单位:中国人民解放军心血管内外科研究所,沈阳军区总医院心血管外科,中国人民解放军心血管内外科研究所,中国人民解放军心血管内外科研究所 沈阳军区总医院心血管外科,沈阳军区总医院心血管外科
摘    要:近13年来,手术治疗室缺合并严重肺动脉高压182例,其肺动脉收缩压为10.7~20.0kPa(1mmHg=0.133kPa),全肺阻力为191~1784dyn.s.cm~(-5),有左向右分流者157例,双向分流者25例,手术死亡率为4.9%,长期效果满意。重点讨论了室缺合并严重肺动脉高压的外科治疗经验。

关 键 词:室间隔缺损  肺动脉高压  外科手术

SURGICAL TREATMENT OF VENTRICULAR SEPTAL DEFECT ASSOCIATED WITH SEVERE PULMONARY HYPERTENSION
Wang Zengwei,et al.. SURGICAL TREATMENT OF VENTRICULAR SEPTAL DEFECT ASSOCIATED WITH SEVERE PULMONARY HYPERTENSION[J]. Medical Journal of Chinese People's Liberation Army, 1988, 0(5)
Authors:Wang Zengwei  et al.
Affiliation:Wang Zengwei,et al. Cardiovascular Institute. Department of Cardiovascular Surgery.,General Hospital of Shenyang Command,PLA
Abstract:In recent thirteen and half years, 182 patients with VSD and severe pulmonary hypertension were operated on in our institute. The systolic pulmonary arterial pressure was 10.7~20.0 kPa (80~150 mmHg), and total pulmonary resistence 191 ~ 1784 dyne. s. cm-5.There was left-right shunt in 157 patients and both left-right and right-left shunts in 25 patients. The operative mortality rate was 4,9% with satisfactory long-term results. In this paper, the experience of surgical treatment of VSD with severe pulmonary hypertension was discussed.
Keywords:Ventricular septal defect Pulmonary hypertension Surgery
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