| 心脏跳动下直视观察二尖瓣成形效果 |
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| 引用本文： | 胡庆华,陈胜喜,罗万俊,龙隆. 心脏跳动下直视观察二尖瓣成形效果[J]. 中南大学学报(医学版), 2006, 31(6): 943-944 |
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| 作者姓名： | 胡庆华 陈胜喜 罗万俊 龙隆 |
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| 作者单位： | 中南大学湘雅医院心胸外科,长沙,410008;中南大学湘雅医院心胸外科,长沙,410008;中南大学湘雅医院心胸外科,长沙,410008;中南大学湘雅医院心胸外科,长沙,410008 |
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| 摘 要： | 目的：总结在心脏跳动下直视观察二尖瓣成形效果的方法和经验。方法：12例二尖瓣关闭不全的患者行二尖瓣成形术，在开放主动脉前使心脏慢节律的复跳，直视下观察成形后二尖瓣闭合的情况，不满意则行进一步成形。结果：术中有2例需进一步成形。术后并发低心排出量综合征1例，无死亡病例。术后1月复查轻度返流5例，中度返流1例，6例无明显返流。结论：采用心脏跳动下直视观察的方法评价二尖瓣成形的效果是切实可行的。
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| 关 键 词： | 心脏疾病 先天性 二尖瓣关闭不全 二尖瓣成形术 |
| 文章编号： | 1672-7347（2006）06-0943-02 |
| 收稿时间： | 2005-12-09 |
| 修稿时间： | 2005-12-09 |
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| HU Qing-hua,CHEN Sheng-xi,LUO Wan-jun,LONG Long.
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| Authors: | HU Qing-hua CHEN Sheng-xi LUO Wan-jun LONG Long |
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| Abstract: | Objective To summarize the method and experience of direct observation of the effect of mitral valvuloplasty on beating heart. Methods Twelve patients with mitral regurgitation underwent mitral valvuloplasty. When the heart was beating slowly before releasing the aorta, the morphology and function of the mitral valve were evaluated by direct observation. If the results were unsatisfactory, further techniques were used to reach the goal. Results During the operation 2 patients needed further techniques to make the mitral valve work well. No operative death and only 1 complication ( low cardiac output syndrome) occurred. After 1 month follow-up later, mild regurgitation was found in 5 patients, moderate regurgitation in 1 and no obvious regurgitation in 6. Conclusion Evaluating the effect of mitral valvuloplasty by direct observation on beating heart is practicable. |
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| Keywords: | heart diseases congenital mitral regurgitation mitral valvuloplasty |
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