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find Keyword " 老年" 2 results
  • 老年危重心瓣膜病的外科治疗与围术期处理

    目的 总结老年危重心瓣膜病患者的手术治疗和围术期处理经验。 方法 回顾性分析 2008年6月至2010年6月中国医科大学附属第一医院37例60岁以上老年危重心瓣膜病患者手术治疗的临床资料,其中男21例,女16例;年龄60~79 (67.3±6.9)岁。二尖瓣病变15例,主动脉瓣病变8例,主动脉瓣+二尖瓣病变14例;合并左心房血栓9例,三尖瓣反流11例。 结果 围术期死亡3例,其中死于术后肺部感染1例,多器官功能衰竭1例,脑梗死1例。术后发生并发症18例,包括呼吸道并发症、室性心律失常、低心排血量综合征和急性肾功能衰竭等,经相应的治疗治愈。随访26例,随访时间6~23个月,心功能分级(NYHA)Ⅰ级13例,Ⅱ级12例,Ⅲ级1例。 结论 完善的术中操作、加强围术期处理,可有效降低老年危重心瓣膜病患者术后并发症的发生和病死率。

    Release date:2016-08-30 05:28 Export PDF Favorites Scan
  • The Use of Prostaglandin E1Dur ing Off-pump Coronary Artery Bypass Graf ting in Patien ts of Old Age

    Abstract:  Objective To invest igate the effect of p ro staglandin E1 (PGE1 ) during off-pump co ronary artery bypass graft ing (O PCAB ).  Methods  F rom O ct. 2005 to Dec. 2005, 40 consecut ive pat ients w ho underw ent O PCAB w ere random ly divided into two group s. The cont ro l group received convent ional t reatment w h ile the PGE1 group received cont inuous int ra2vena PGE1 infusion ( 5220 ngouml;k g?m in) fo r 24248 hours. The perioperat ivehemodynam ic indexes, including cardiac index (C I) , system ic vascular resistance ( SVR ) , pulmonary vascular resistance (PVR ) , and hematocrit (HCT ) , coagulation index (C I) , partial pressure of oxygen in artery (PaO 2 ) ,serum creat inine (Cr) and blood urea nitrogen (BUN ) were measured and compared.  Results Postoperative SVR and PVR decreased and C I increased significantly in the PGE1 group (P lt; 0. 05). Postoperative HCT decreased in the both group patients. Coagulation index decreased significantly on the operation day, but then increased in both groups on the next day after operation, with the increase in the PGE1 group significantly less than control group (P lt;0. 05). Postoperative serum Cr and BUN increased significantly in the both groups, especially in the control group (P lt; 0105).  Conclus ion PGE1 has potential beneficial effect on patients undergoing OPCAB.

    Release date:2016-08-30 06:08 Export PDF Favorites Scan
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