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体外循环下肺动脉栓塞的外科治疗

Surgical treatment of chronic pulmonary thromboembolism by cardiopulmonary bypass
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摘要 目的探讨体外循环下肺动脉切开取栓和肺动脉内膜剥脱术治疗慢性肺动脉栓塞的方法、围术期处理经验,以提高慢性肺动脉栓塞外科治疗的安全性。方法全组12例慢性肺动脉栓塞患者均在浅低温体外循环心跳中切开肺动脉取栓及肺动脉内膜剥脱术。结果全组12例无一例近期死亡,其中1例活检为平滑肌肉瘤,术后化疗,2年后复查无复发,其余11例均为血栓,术后临床症状减轻,活动能力明显提高。结论体外循环下肺动脉切开取栓和内膜剥脱术是治疗慢性肺动脉栓塞的安全、有效的方法。 Objective To investigate reiability and safety of pulmonary thromboendarterectomy and perioperative management of chronic pulmonary thromboembolism. Methods All 12 patients underwent pulmonary thromboendatterectomy in assist of cardiopulmonary bypass (CPB). Results Pulmonary pressure decreased 20 to 40 mm Hg ( 1 mm Hg= 0.133 kPa) immediately in 9 cases. The clinical symptom and activity were improved in all patients. Conclusions Pulmonary thromboendarterectomy is an effective procedure for chronic pulmonary thromboembolism.
出处 《医师进修杂志(外科版)》 2005年第9期20-21,共2页
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