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"诊治经验" 3 results
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目的 总结终末期冠心病患者施行心脏移植的临床经验,探讨术后血管病变的预防策略。 方法 在体外循环下采用双腔法原位心脏移植。术后采用环孢菌素A、骁悉和泼尼松等药物抗排斥反应,并监测其血药浓度。结果 患者术后8h清醒,56h脱离呼吸机。围手术期过程平稳,术后1个月心功能分级(NYHA)恢复至Ⅱ级,10个月后恢复至Ⅰ级。 结论 心脏移植可作为冠心病患者的终极治疗措施,术后对患者进行系统的药物治疗十分重要。
Release date:2016-08-30 06:13
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目的 总结结核性毁损肺手术治疗的经验。 方法 回顾分析我院近12年来手术治疗49例结核性毁损肺的临床资料,其中行右肺上叶切除术11例,右全肺切除术9例,左肺上叶切除术3例,左全肺切除术25例,左上余肺切除术1例。全组未作胸廓成形术。术中出血量200~4 000ml,输血31例,输血量300~3 600ml。手术时间1.8~8.0h。 结果 无手术死亡,18例痰抗酸杆菌涂片阳性患者全部转阴。随访2个月~11年10个月。术后并发支气管胸膜瘘3例,血胸4例,胸腔积液3例,乳糜胸1例,均采用相应的治疗而治。 结论 手术治疗结核性毁损肺,应做好防范手术风险和预防术后并发症的充分准备。
Release date:2016-08-30 06:15
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Objective To report the experiences using orthotopic heart transplantation (HTX) to treat a patient with primary cardiac pheochromocytoma (PCT). Methods On June 2, 2005, a 48-year-old woman received orthotopic HTX because she suffered from cardiac PCT which can not be resected. The procedure for the recipient was uneventful. The aortic crossclamp time was 95 min, assist circulation time 64 min. Results Twenty days after the operation, the patient was discharged without any events, and serum norepinepherine dropped to 1. 339 ng/ml, and urinary norepinepherine 108μg/24h. Conclusion Orthotopic HTX is an effective treatment for cardiac PCT when it cannot be resected.
Release date:2016-08-30 06:22
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