中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
15期
23-24
,共2页
单向活瓣补片%室间隔缺损%肺动脉高压%双向分流
單嚮活瓣補片%室間隔缺損%肺動脈高壓%雙嚮分流
단향활판보편%실간격결손%폐동맥고압%쌍향분류
One - way - valved patch%Ventricular septal defects%Pulmonary hypertension%Bi - directional shunt
目的 总结本院自2003年至2008年用自制单向活瓣补片治疗合并重度肺动脉高压双向分流型室间隔缺损15例的经验.方法 对收治的15例合并重度肺动脉高压双向分流的室间隔缺损患者行单向活瓣补片修补室间隔缺损.结果 本组15例病人无手术死亡,疗效满意,1周时有7例右向左分流,3周时右向左分流消失.随访3个月病人自觉症状改善,肺动脉压下降.结论 单向活瓣补片能降低肺动脉高压危象的发生率,降低围术期死亡率,围术期的管理也非常重要.
目的 總結本院自2003年至2008年用自製單嚮活瓣補片治療閤併重度肺動脈高壓雙嚮分流型室間隔缺損15例的經驗.方法 對收治的15例閤併重度肺動脈高壓雙嚮分流的室間隔缺損患者行單嚮活瓣補片脩補室間隔缺損.結果 本組15例病人無手術死亡,療效滿意,1週時有7例右嚮左分流,3週時右嚮左分流消失.隨訪3箇月病人自覺癥狀改善,肺動脈壓下降.結論 單嚮活瓣補片能降低肺動脈高壓危象的髮生率,降低圍術期死亡率,圍術期的管理也非常重要.
목적 총결본원자2003년지2008년용자제단향활판보편치료합병중도폐동맥고압쌍향분류형실간격결손15례적경험.방법 대수치적15례합병중도폐동맥고압쌍향분류적실간격결손환자행단향활판보편수보실간격결손.결과 본조15례병인무수술사망,료효만의,1주시유7례우향좌분류,3주시우향좌분류소실.수방3개월병인자각증상개선,폐동맥압하강.결론 단향활판보편능강저폐동맥고압위상적발생솔,강저위술기사망솔,위술기적관리야비상중요.
Objective To summerize the surgical effect with one - way - valved patch to treat vetricular septal de-feet with severe pulmonary hypertension with bi - directional shunt since 2003. Methods The materials of 15 patients with ventricular septal defect and severe PH with bi- directional shunt who were treated by one- way- valved patch were ana-lyzed. Results No patient died in hospital after operation due to pulmonary hypertention crisis and the low output of left ventrical. Most patients felt better than preoperation and their pulmonary artery pressure decreased gradually. Conclusions One -way -valved patch is useful in decreasing the rate of perioparative pulmonary hypertension crisis and perioperation mortality. The perioperative therapy and prioperative evaluation are also essential to raise surgical operation effect.
