目的:总结右腋下小切口心内直视手术的治疗效果和经验。方法:对32例患者经右腋下沿腋中线自第3～第5肋间作8～10 cm 的切口,第4肋间进胸,按常规建立体外循环。心脏不停跳下房缺修补术18例,阻断主动脉下完成室缺修补术10例,部分型肺静脉...目的:总结右腋下小切口心内直视手术的治疗效果和经验。方法:对32例患者经右腋下沿腋中线自第3～第5肋间作8～10 cm 的切口,第4肋间进胸,按常规建立体外循环。心脏不停跳下房缺修补术18例,阻断主动脉下完成室缺修补术10例,部分型肺静脉异位引流矫正术2例,二尖瓣置换术2例。结果:32例病人均在原切口下顺利完成手术,全组无死亡病例。随访29例(0.5～1.3年),随访率91%,术后效果良好。结论:采用右腋下小切口心内直视手术出血少、疼痛轻、恢复快、疤痕隐蔽,适用于幼儿及成人的右心系统手术。展开更多
Right ventricular failure(RVF)is a complicated syndrome with multiple etiologies.RVF relates to pulmonary hypertension,left ventricle failure,and congenital heart diseases.The origin of its pathway is based on patholo...Right ventricular failure(RVF)is a complicated syndrome with multiple etiologies.RVF relates to pulmonary hypertension,left ventricle failure,and congenital heart diseases.The origin of its pathway is based on pathological gene expression and concomitant diseases.Diagnosis of RVF is a serious problem for clinicians,but none of the criteria in current clinical practice provides uncontaminated information on either systolic or diastolic function.Perioperative assessment and bedside monitoring of right ventricle function have to be revised and widely used.Right ventricle function in transplant patients demands different evaluation using biomarkers or/and autopsy.Treatment of RVF has surgical and non-surgical approaches;both are still in development and need further clarification.展开更多
文摘目的:总结右腋下小切口心内直视手术的治疗效果和经验。方法:对32例患者经右腋下沿腋中线自第3～第5肋间作8～10 cm 的切口,第4肋间进胸,按常规建立体外循环。心脏不停跳下房缺修补术18例,阻断主动脉下完成室缺修补术10例,部分型肺静脉异位引流矫正术2例,二尖瓣置换术2例。结果:32例病人均在原切口下顺利完成手术,全组无死亡病例。随访29例(0.5～1.3年),随访率91%,术后效果良好。结论:采用右腋下小切口心内直视手术出血少、疼痛轻、恢复快、疤痕隐蔽,适用于幼儿及成人的右心系统手术。
文摘Right ventricular failure(RVF)is a complicated syndrome with multiple etiologies.RVF relates to pulmonary hypertension,left ventricle failure,and congenital heart diseases.The origin of its pathway is based on pathological gene expression and concomitant diseases.Diagnosis of RVF is a serious problem for clinicians,but none of the criteria in current clinical practice provides uncontaminated information on either systolic or diastolic function.Perioperative assessment and bedside monitoring of right ventricle function have to be revised and widely used.Right ventricle function in transplant patients demands different evaluation using biomarkers or/and autopsy.Treatment of RVF has surgical and non-surgical approaches;both are still in development and need further clarification.
