肺动脉右心室流出道单瓣重建术后并发症的观察及护理
摘要
复杂先天性心脏病往往合并重度肺动脉瓣狭窄、发育不良或闭锁，已往外科修复采用跨瓣环补片加宽右心室流出道（rightventricularoutflowtract，RVoT），但解除RVOT狭窄的同时往往会导致肺动脉瓣反流，而长期肺动脉瓣反流可致右心室容量及压力负荷增加，最终导致心律失常、运动耐力下降或心力衰竭。
出处
《解放军护理杂志》
CSCD
2013年第8期61-62,共2页
Nursing Journal of Chinese People's Liberation Army
参考文献5
-
1韩宏光,张南滨,汪曾炜,朱洪玉,王辉山.改良心肌保护对婴儿法鲁四联症术中心肌保护作用的研究[J].中国医师进修杂志,2006,29(10):50-52. 被引量：3
-
2孙彦隽,张海波,苏肇伉,刘锦纷,徐志伟,曹鼎方.人同种心包补片在法洛四联症分期手术中的应用[J].中国胸心血管外科临床杂志,2005,12(5):316-319. 被引量：10
-
3Yamagishi M,Kurosawa H, Nomura K,et al. Fan-shaped expanded polytetrafluoroethylene valve in thepulmonary position [J]. J Cardiovasc Surg ( Torino ),2002,43(6):779-786.
-
4Quintessenza J A, Jacobs J P, Morell V 0. et al. Initialexperience with a bicuspid polytetrafluoroethylene pul-monary valve in 41 children and adults: A new option forright ventricular outflow tract reconstruction [ J ]. AnnThorac Surg,2005,79(3) :924-931.
-
5Turrentine M W, McCarthy R P, Vij ay P,et al. PTFE mo-nocusp valve reconstruction of the right ventricular outflowtract[J]. Ann Thorac Surg,2002,73(3) :871-879.
二级参考文献16
-
1朱平,汪曾炜.冷血停跳液在小儿复杂先心病矫正术中的临床应用[J].中华胸心血管外科杂志,1995,11(6):333-335. 被引量：7
-
2Rosen DS, Wollman R, Frim DM. Recurrence of symptoms after Chiari decompression and duraplasty with nonautologous graft material. Pediatr Neurosurg, 2003,38(4) : 186-190.
-
3Chun JL, McGregor A, Krishnan R, et al. A comparison of dermal and cadaveric pericardial grafts in the modified Horton Devine procedure for Peyronie's disease. J Urol, 2001,166 (1) :185-188.
-
4Alvarenga LS, de Sousa LB, de Freitas D, et al. Efficacy and safety of recurrent pterygium surgery using human processed pericardium. Cornea, 2002,21 (6) : 542-545.
-
5Breinholt JP 3rd, Hawkins JA, Lambert LM, et al. A prospective analysis of the immunogenicity of cryopreserved nonvalved allografts used in pediatric heart surgery. Circulation,2000,102(19 Suppl 3): Ⅲ 179-182.
-
6Cullen S, Shore D, Redington A. Characterization of right ventricular diastolic performance after complete repair of tetralogy of Fallot. Restrictive physiology predicts slow postoperative recovery. Circulation, 1995, 91(6) : 1782-1789.
-
7Caputo M,Modi P,Imura H,et al.Cold blood versus cold crystalloid cardioplegia for repair of ventricular septal defects in pediatric heart surgery:a randomized controlled trial.Ann Thorac Surg,2002,74(2):530-535.
-
8Warner KG,Sheahan MG,Arebi SM,et al.Proper timing of blood cardioplegia in infant lambs:superiority of a multiple-dose regimen.Ann Thorac Surg,2001,71(3):872-876.
-
9Hammon JW.Myocardial protection in the immature heart.Ann Thorac Surg,1995,60:439.
-
10Hisatomi K,Isomura T,Hayashida N,et al.Effect of the addition of albumin to crystalloid cardioplegic solutions on myocardial metabolism in infants undergoing open heart surgery.Surg Today,1996,26(6):395-399.
共引文献10
-
1王石雄,李宁荫,曹云华,柳德斌,王炜,潘丽,高秉仁.含血停搏液与STH液对未成熟心肌保护作用的系统评价[J].心血管外科杂志（电子版）,2013,2(3):128-134.
-
2金艳,张静,郑霄,张艳.心脏手术中应用自体心包片的护理配合及体会[J].第四军医大学学报,2006,27(18):1682-1682.
-
3方敏华,朱洪玉,汪曾炜,吉哲,尹宗涛.Gore-Tex片作单瓣重建右心室流出道的早、中期疗效[J].中国胸心血管外科临床杂志,2007,14(4):245-247. 被引量：3
-
4李建安,严中亚,吴一军,雷虹,卢中,孙云,郑理.活性带瓣自体心包补片在右室流出道重建中的应用[J].中国临床医学,2007,14(4):470-472. 被引量：1
-
5徐玉华.42例主动脉窦瘤破裂的手术配合[J].浙江临床医学,2008,10(7):989-989.
-
6周程,郝志敏,刘福林,柳克晔,许金鹏,王乾一.自体心包片在心脏直视手术中的应用[J].军医进修学院学报,2009,30(4):589-591. 被引量：3
-
7李振荣,何春红.心脏手术中自体心包应用的护理配合[J].华夏医学,2009,22(5):981-982. 被引量：2
-
8吴军.改良D.K.S术矫治Taussig-Bing畸形的护理配合[J].海南医学,2012,23(16):146-147.
-
9陈朝晖,韩宏光,李晓密,徐莉莹,孟庆涛,赵晶.75例Gore—Tex片作肺动脉右室流出道单瓣重建术后并发症的观察及护理[J].沈阳部队医药,2012,25(6):447-448.
-
10刘淼,徐宏耀,高廷朝,王平凡,李友金,彭邦田,高夏,高飞,姬建胜.分两期手术治疗重症法洛四联症[J].中国胸心血管外科临床杂志,2013,20(5):598-600. 被引量：3
-
1陈朝晖,韩宏光,李晓密,徐莉莹,孟庆涛,赵晶.75例Gore—Tex片作肺动脉右室流出道单瓣重建术后并发症的观察及护理[J].沈阳部队医药,2012,25(6):447-448.
-
2刘芳,吴琳,黄国英,张立风,齐春华,马晓静,梁雪村.经皮肺动脉瓣球囊扩张成形术治疗小婴儿重度肺动脉瓣狭窄[J].中华医学杂志,2009,89(46):3253-3256. 被引量：6
-
3周万平,李奋.经导管肺动脉瓣置换术在儿科的应用[J].中华儿科杂志,2016,54(9):717-720.
-
4向水,董念国,刘金平,陈新忠,苏伟,孙宗全.重度肺动脉瓣反流的外科处理体会[J].临床心血管病杂志,2013,29(3):224-226.
-
5陈伟丹,花中东,张瑛,张浩,闫军,杨克明,李文雷,王德,李守军.一岁内重度肺动脉瓣狭窄经胸肺动脉瓣球囊扩张成形术疗效分析[J].中国胸心血管外科临床杂志,2010,17(6):441-444. 被引量：7
-
6张子力,韩涛,翁国星,陈同,陈雷,姚祖武.重度肺动脉瓣狭窄147例外科治疗[J].福建医药杂志,2010,32(3):3-4.
-
7王志刚.腹腔镜胆囊切除术中胆总管损伤外科修复术后生活质量的影响[J].医学信息（医学与计算机应用）,2002,15(10):607-608.
-
8孙军辉,周官辉,郑树森.肝移植介入治疗应用及进展[J].器官移植,2015,6(3):134-138. 被引量：6
-
9刘延亮,高伟.急诊支架植入术治疗新生儿外科术后重度肺动脉瓣狭窄1例[J].中华实用儿科临床杂志,2014,29(13):1036-1036.
-
10李昌玉,李伟,张录,夏克何.小儿法洛四联症早期根治术的效果评价[J].安徽医学,2012,33(3):288-290.
