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心脏不停跳下保留二尖瓣结构的二尖瓣替换术的临床观察
引用本文:李荣世,王奇,刘欢,何兆忠.心脏不停跳下保留二尖瓣结构的二尖瓣替换术的临床观察[J].广西医科大学学报,1999,16(4):441-443.
作者姓名:李荣世  王奇  刘欢  何兆忠
作者单位:广西柳州市工人医院,柳州,545005
摘    要:目的 探讨在心脏不停跳下保留二尖瓣结构的二尖瓣替换术临床的应用价值。方法 对1994年7月至1997年12月在浅低温体外循环心脏不停跳下对15例患者行保留二尖瓣结构的二尖瓣替换术与同期不保留二尖瓣结构的12例比较。结果 术后病情较稳定,心功能恢复较快,全部存活出院。两组相比,保留组SVI、EF改善明显,左房、左空小显著。结论 在二尖瓣替换术中保留二关瓣结构有维持左心室舒缩功能作用;在浅低温体外循环

关 键 词:二尖瓣替换术  二尖瓣结构  人工瓣膜
修稿时间:1998-12-28

MITRAL VALVE REPLACEMENT BY RESERVING THE STRUCTURES OF VALVE WITH HEART BEATING
Li Rongshi,Wang Qi,Liu Huan,et al.MITRAL VALVE REPLACEMENT BY RESERVING THE STRUCTURES OF VALVE WITH HEART BEATING[J].Journal of Guangxi Medical University,1999,16(4):441-443.
Authors:Li Rongshi  Wang Qi  Liu Huan  
Abstract:Objective:To prope into the clinical value of mitral valve replacement by reserving the structures of valve with heart beating Methods:From July,1994 to December,1997,we had 15 cases of valve replacement with valve structure reserved and 12 cases without in low hypothermia and extracorporeal circulation with heart beating Results:All these patients' conditions were stable and rescoverel soon after operations SVI & EF of the reservation group improved more obviously than the non reservation group Conclusion:It's useful to keep the function of left ventricle of heart during mitral valve replacement,and there was no problem in re perfusion injury It could reduce the cardiac injury and help to detect and correct the functional disorder of prosthetic valve
Keywords:mitral valve replacement  mitral valve structures  prosthetic valve
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