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find Author "朱国勇" 3 results
  • 非粘液瘤性心脏良性肿瘤的诊断与手术治疗

    目的 总结非粘液瘤性心脏良性肿瘤的诊断和外科治疗经验。 方法 1982年9月~2005年10月手术治疗5例非粘液瘤性心脏良性肿瘤,其中男2例,女3例;年龄2~46岁(33.4±17.8岁)。所有肿瘤均被完整切除,同时将其附着的心内膜和心肌组织一并切除,用心包或补片修补缺损,术毕反复冲洗心腔并吸净。 结果 5例患者均治愈出院。术后均获得随访,随访时间3个月至11年,未发现严重心律失常,并恢复正常工作、学习;其中1例5年后复发,再次手术无法切除。 结论 非粘液瘤性心脏良性肿瘤的临床表现、病理类型多样,手术治疗效果好,术后应重视复查。

    Release date:2016-08-30 06:13 Export PDF Favorites Scan
  • 主动脉窦瘤破裂的外科治疗

    目的 总结主动脉窦瘤破裂的外科治疗经验。 方法 83例主动脉窦瘤破裂患者均在气管内插管静脉复合麻醉中度低温体外循环下行主动脉窦瘤修复术,同时矫治合并的心内畸形,包括行主动脉瓣置换术20例,主动脉瓣成形术9例,三尖瓣成形术4例,肺动脉瓣重建术2例,室间隔缺损修补术37例,房间隔缺损修补术5例,右心室流出道疏通2例,右室双腔心矫治术1例。 结果 本组无手术死亡。术后并发心力衰竭2例,再次开胸止血4例,均经治疗后痊愈。所有患者均得到随访,随访时间1个月~6年, 平均随访25.6个月。心功能Ⅰ~Ⅱ级。心脏彩色超声心动图复查:未发现主动脉窦瘤复发或残余分流,主动脉瓣轻度反流2例,轻至中度反流2例;术后6年主动脉瓣重度反流1例,再次行主动脉瓣置换术。 结论 主动脉窦瘤破裂预后不良,尽早手术是治疗主动脉窦瘤破裂惟一有效的治疗方法。治疗的关键是恰当切除瘤体,可靠闭合窦瘤口,彻底矫治心脏畸形。

    Release date:2016-08-30 06:15 Export PDF Favorites Scan
  • Effect of Preoperative Oral Administration of Olive Oil to Prevent Chylothorax after Thoracoscopic Resection of Esophageal Carcinoma

    ObjectiveTo study the effect of preoperative oral administration of olive oil in the patients with laparoscopic resection of esophageal carcinoma and to expose the advantages of alimentary duct in operation. MethodsWe retrospectively analyzed the clinical data of 136 patients in our hospital from June 2013 through June 2015 year. There were 83 males and 53 females at age of 58.3±7.6 years. The patients were given oral olive oil 100 ml at preoperative 12 hours. ResultsAll patients completed surgery successfully without transfer to open chest. Operation of thoracic duct filling was transparent, milky white, and with clear exposure. Thoracic duct was retained successfully in the 131 patients. It was found that intraoperative injury during separation of thoracic duct due to tumor invasion in 5 patients. These patients were treated with by titanium clipping. All the patients were with chest tube drainage for 3-5 d. Average drainage volume at postoperative 24 hours was 150±35 ml. Postoperative total drainage volume was 500±130 ml. None of postoperative chylothorax was found. Postoperative average hospitalization time was 9±2 d. ConclusionEsophageal cancer preoperative oral administration of olive oil is simple, safe, effective, no injury, and with clear exposure in thoracic duct in operation. Injury of the thoracic duct is reduced. The integrity of thoracic duct is preserved. Normal glucose and lipid metabolism is retained. Therefore, it is a good choice in preoperative preparation for esophageal cancer patients. It is worth popularization and application.

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