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室间隔切除术:治疗梗阻性肥厚型心肌病的金标准
梗阻性肥厚型心肌病(HCM)间隔切除术的治疗方法几乎与HCM文献报道同时出现.现在越来越清楚的表明,间隔切除术是一种缓解流出道梗阻症状可靠的治疗方法.间隔切除术在HCM治疗中地位的不断提高,主要是因为:(1)对梗阻的患病率及其影响认识更加清楚;(2)通过与酒精消融术的比较,使我们对该术式的认识更加清楚.下面我们介绍一下Mayo医院外科治疗HCM的经验.
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中国心脏瓣膜外科的发展与现状
Heart valve surgery in China dates back to 4 to 5 decades ago. In 1954, the first closed mitral commissurotomy was successfully performed in a patient with mitral stenosis. In 1960, with the advent of transventricular dilator and by the route of left ventricle, the efficacy of mitral commissurotomy was improved. The procedure was rapidly adopted by many centers in this country[1]. In 1958, the first open heart surgery using cardiopulmonary bypass was performed in China. This was an epoch-making event, which opened up a new era in the field of cardiac surgery in China. Thereafter, in cities like Beijing and Shanghai, direct repairs of mitral lesions under CPB were made with good results. In 1965, the development of the first totally home-made ball valve prosthesis and its successful application in mitral valve replacement was another landmark in the history of heart valve surgery in China. In 1976, aortic valve replacement with glutaraldehyde-preserved bovine pericardial valve prosthesis was carried out successfully. The next year, the first porcine aortic valve prosthesis was produced and introduced to clinical use, which greatly accelerated the progress of heart valve surgery in China. During the last 2 decades, heart valve surgery and its techniques have been widely applied throughout China.
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保留瓣下结构二尖瓣置换术的临床效果
随着对二尖瓣装置的生理作用及其与左心室功能关系的深入研究,Lillehei等[1]在切除瓣下结构的传统二尖瓣置换术 ( conventional mitral valve replacement, MVRC )基础上提出了保留瓣下结构的二尖瓣置换术(mitral valve replacement withpreservation of subvalvular apparatus, MVRP).
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剖宫产加子宫次全切除联合二尖瓣置换的手术配合
妊娠合并心脏病是产科重要并发症,若出现心力衰竭可直接危及孕妇与胎儿生命[1].我院于2005年7月为1例妊娠同时合并心内膜炎、心功能Ⅳ级、全心衰竭的急诊病人施行剖宫产加子宫次全切除联合二尖瓣置换、左房血栓和赘生物清除手术,获得成功.现将手术配合报告如下.
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1例体外膜肺氧合治疗二尖瓣置换术后的护理
体外膜肺氧合(extra corporeal membrane oxygenation,EC-MO)是体外循环技术的延伸,它具有循环辅助和呼吸辅助的双重功能.
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地氟烷在二尖瓣置换手术中对缺血再灌注心肌的保护作用
在心脏外科手术中心肌缺血再灌注(ischemiareperfusion,I-R)损伤的防治是急需解决的问题.缺血预处理(ischemic preconditioning,IPC)具有心肌保护作用[1,2 ].
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胸心血管外科学(二十六)
汉文名 英文名真菌性主动脉瘤 mycotic aortic aneurysm主动脉瘤 aortic aneurysm巴德-吉亚利综合征 Budd-Chiari syndrome主动脉窦瘤 aortic sinus aneurysm,aneurysm of Valsalva sinus圣祖德双叶瓣 St.Jude bileaflet valve房间隔切除术 atrial septectomy,Blalock-Hanlon technique腱索缩短术 shortening of chordae tendineae乳头肌劈开术 splitting of papillary muscle腱索移位术 lengthening of chordae tendineae左房壁折叠术 left atrial wall plication左心耳结扎术 ligation of left atrial appendage左房血栓清除术 left atrial thrombectomy心肌梗死块切除术 myocardial infarctectomy,resection of myocardial infarcted mass室间隔缺损修补术 repair of ventricular septal defect迷宫术 maze operation心脏切开术后综合征 postcardiotomy syndrome手术后心肌梗死 postoperative myocardial infarction闭式二尖瓣交界分离术 closed mitral commissurotomy直视二尖瓣交界切开术 iopen mitral commissuotomy直视二尖瓣成形术 open mitral valvoplasty心[脏]瓣膜置换术 cardiac valve replacement二尖瓣置换术 mitral valve replacement瓣中瓣人工瓣植入术 valve in valve prosthetic valve implantation瓣膜切开术 valvotomy瓣膜成形术 valvoplasty双瓣膜置换术 double-valve replacement主动脉瓣与二尖瓣置换术 aortic and mitral valve replacement三尖瓣成形术 tricuspid valvoplasty三尖瓣瓣环成形术 tricuspid annuloplasty