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find Author "肖苍松等" 3 results
  • 原发性心包肿瘤的诊断与治疗

    目的 总结原发性心包肿瘤的诊断和外科治疗方法,以进一步提高其疗效。 方法 2005 年4 月至2009 年9 月中国人民解放军总医院共收治非囊肿性原发性心包肿瘤患者7 例,男3 例,女4 例;平均年龄47(33 ~ 64)岁。 4 例完整切除肿瘤,其中1 例因侵犯相邻肺组织而将相应肺叶切除;2 例行姑息性切除;1 例探查后取一小块组织行活组织检查。 结果 无院内死亡。术后病理证实4 例为恶性,3 例为良性。恶性肿瘤患者术后2 例行化疗,1例行放疗;随访3 例,分别于术后3 个月、7 个月和11 个月后死亡。良性肿瘤患者术后随访6 ~ 8 个月,未见复发。结论 良性肿瘤一经确诊应尽早手术切除;恶性心包肿瘤较易误诊,如无远处转移,应积极争取手术治疗,化疗和放疗效果均不理想。

    Release date:2016-08-30 05:48 Export PDF Favorites Scan
  • Clinical Characteristics of Young Patients with Stanford Type A Aortic Dissection

    Abstract: Objective To summarize the clinical characteristics of young patients with Stanford type A aortic dissection. Methods We retrospectively analyzed 54 patients with Stanford type A aortic dissection who received surgical treatment in General Hospital of PLA between March 2004 and June 2011. All the patients were divided into two groups: a young patient group with patients’ age less than 40 years and a control group with patients’ age more than or equal to 40 years. There were 23 patients including 17 males and 6 females with an average age of 34.2±6.3 years in the young patient group and 31 patients including 27 males and 4 females with an average age of 51.5±6.8 years in the control group. The clinical characteristics and surgical treatment outcomes of the two groups were compared. Results There was no statistical difference in cardiopulmonary bypass(CBP)time(224.4±83.1 min vs. 215.0±88.0 min, t=0.39, P=0.69) and aortic cross-clamping time(152.3±60.8 min vs. 130.9±51.2 min, t=1.34, P=0.18)between the two groups. Compared with the patients in the control group, young patients were more likely to have congenital malformations with rate at 34.7%(8/23) vs. 6.4%(2/31) with χ2=5.27, P=0.02, such as Marfan syndrome and bicuspid aortic valve. The mortality of the young patients was similar to patients in the control group at rate of 13.0%(3/23)vs.12.9%(4/31) with χ2=0.15 and P=0.69, but postoperative mental and neurological complications rate in the young patient group were less frequent than those in the control group at 4.3%(1/23)vs. 32.2%(10/31) with χ2=5.32 and P=0.02. Conclusion Young patients with Stanford type A aortic dissection have fewer cardiovascular risk factors for aortic dissection but are more likely to have congenital malformations. The surgical methods are more active for young patients with less frequency of postoperative mental and neurological complications.

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • 尿毒症患者血液透析期间行体外循环心脏手术二例

    Release date:2016-08-30 05:49 Export PDF Favorites Scan
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