Nowadays,the word globalization has become a most exposed word in contexts of economy,culture and politics.Among the three fields,economic globalization has been paid more attention to.In this article,the author inten...Nowadays,the word globalization has become a most exposed word in contexts of economy,culture and politics.Among the three fields,economic globalization has been paid more attention to.In this article,the author intends to discuss the issue of cultural globalization.In detail,he wants to analyze the impacts of cultural globalization in the making of contemporary Chinese culture.First,the author discussed that the cultural globalization is mostly cultural westernization.Second,he explained that cultural westernization is not a monster to Chinese and the construction of modern Chinese culture.Thirdly and lastly,by discussing some significances of western culture,the author suggested those significances of western culture are valuable to be absorbed in the making of Chinese culture great again.展开更多
目的:探讨胸腔镜微创二尖瓣成形术后再次换瓣的相关因素分析及处理策略。方法:回顾性分析2019年3月至2021年12月,我院收治的103例胸腔镜微创二尖瓣成形患者,术后随访6个月。在术前、术后1周、3个月及6个月,参照心脏病协会(New York Hear...目的:探讨胸腔镜微创二尖瓣成形术后再次换瓣的相关因素分析及处理策略。方法:回顾性分析2019年3月至2021年12月,我院收治的103例胸腔镜微创二尖瓣成形患者,术后随访6个月。在术前、术后1周、3个月及6个月,参照心脏病协会(New York Heart Association,NYHA)心功能标准对患者进行心功能评级,并比较术前、术后1周、3个月及6个月患者LVEF、LAD、LVEDD以及二尖瓣反流量,并筛选出成形术后需要再次换瓣的患者,分析首次成形术后主要并发症及患者再次换瓣主要病因。结果:103例患者中首次手术病因为二尖瓣退行性变92例,二尖瓣风湿性改变11例。成形术后5例需要再次换瓣,病因为风湿性病变2例,退行性病变3例。术后早期并发症主要为肺部感染、低氧血症、多脏器衰竭、大量出血、低心排综合征、急性左心衰竭及新发心房颤动。术后6个月随访死亡2例。相较于术前,术后1周患者心功能分级、LVEF、LAD、LVEDD有所恢复,而术后6个月恢复程度显著(P<0.05),但需要再次换瓣的5例患者,无明显改善。结论:风湿性二尖瓣病变以及退行性病变都有可能为胸腔镜微创二尖瓣术后再次换瓣的原因。患者行再次换瓣术时需重点关注高危因素及患者心功能,并选择合适手术方式,术后需做好围术期处理、出院指导以及随访工作。展开更多
文摘Nowadays,the word globalization has become a most exposed word in contexts of economy,culture and politics.Among the three fields,economic globalization has been paid more attention to.In this article,the author intends to discuss the issue of cultural globalization.In detail,he wants to analyze the impacts of cultural globalization in the making of contemporary Chinese culture.First,the author discussed that the cultural globalization is mostly cultural westernization.Second,he explained that cultural westernization is not a monster to Chinese and the construction of modern Chinese culture.Thirdly and lastly,by discussing some significances of western culture,the author suggested those significances of western culture are valuable to be absorbed in the making of Chinese culture great again.
文摘目的:探讨胸腔镜微创二尖瓣成形术后再次换瓣的相关因素分析及处理策略。方法:回顾性分析2019年3月至2021年12月,我院收治的103例胸腔镜微创二尖瓣成形患者,术后随访6个月。在术前、术后1周、3个月及6个月,参照心脏病协会(New York Heart Association,NYHA)心功能标准对患者进行心功能评级,并比较术前、术后1周、3个月及6个月患者LVEF、LAD、LVEDD以及二尖瓣反流量,并筛选出成形术后需要再次换瓣的患者,分析首次成形术后主要并发症及患者再次换瓣主要病因。结果:103例患者中首次手术病因为二尖瓣退行性变92例,二尖瓣风湿性改变11例。成形术后5例需要再次换瓣,病因为风湿性病变2例,退行性病变3例。术后早期并发症主要为肺部感染、低氧血症、多脏器衰竭、大量出血、低心排综合征、急性左心衰竭及新发心房颤动。术后6个月随访死亡2例。相较于术前,术后1周患者心功能分级、LVEF、LAD、LVEDD有所恢复,而术后6个月恢复程度显著(P<0.05),但需要再次换瓣的5例患者,无明显改善。结论:风湿性二尖瓣病变以及退行性病变都有可能为胸腔镜微创二尖瓣术后再次换瓣的原因。患者行再次换瓣术时需重点关注高危因素及患者心功能,并选择合适手术方式,术后需做好围术期处理、出院指导以及随访工作。
