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重症心脏瓣膜疾病
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     Heart Valve Replacement in Severely Ⅲ Cardiac Valvular Patients
     重症心脏瓣膜病的外科治疗
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     Surgical Treatment of Severe Valvular Heart Disease
     重症心脏瓣膜病的外科治疗
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     Surgery treatment of severe cardiac valve diseases
     重症心脏瓣膜病的外科治疗
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     The management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement
     重症心脏瓣膜置换术的体外循环管理
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     CPB management of replacement of severe heart valvular disease
     重症心脏瓣膜置换术的体外循环管理
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Objective To investigate the management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement.Methods Patients underwent cardiopulmonary bypass by hypothermia, combined conventional and modified ultrafiltration , membrane oxygenate, oxygenated blood perfuse continuously, large colloid priming ,and other three patients underwent deep hypothermic circulatory arrest.Results The cardiopulmonary bypass time ranged from 43min to 232 min, the aortic crossing clamping time 24-161...

Objective To investigate the management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement.Methods Patients underwent cardiopulmonary bypass by hypothermia, combined conventional and modified ultrafiltration , membrane oxygenate, oxygenated blood perfuse continuously, large colloid priming ,and other three patients underwent deep hypothermic circulatory arrest.Results The cardiopulmonary bypass time ranged from 43min to 232 min, the aortic crossing clamping time 24-161 min, the circulatory arrest time 25-62 min, the rate of heart beat return spontaneously is 76%, Beside of twenty one patients death, the quality of others life was satisfaction.Conclusion The remedy rate of poor cardic function heart valve replacement may be elevated by upstanding management of cardiopulmonary bypass.

目的 探讨重症心脏瓣膜置换术的体外循环管理。方法  3例采用深低温停循环 ,其余均采用中低温 (2 6~ 31℃ )体外循环方法。选用膜式氧合器 ,大剂量胶体预充 ,氧合血持续灌注 ,术中行常规和改良超滤相结合。结果 本组体外循环时间 4 3~ 2 32min ,心肌阻断 2 4~ 16 1min ,停循环时间 2 5~ 6 2min ,心脏自动复跳率 76 % ,死亡 2 1例 ,余康复出院 ,随访生活质量满意。结论 良好的体外循环管理可提高重症心脏瓣膜疾病救治率。

Objective To investigate the management of cardiopulmonary bypass in the operation of heart valve replacement in patients with critical valvular heart disease. Methods Patients underwent cardiopulmonary bypass by hypothermia, membrane oxygenate, continuous oxygenated blood perfuse,high volume colloid priming. Results The cardiopulmonary bypass time ranged from 45 min to 223 min, the aortic crossing clamping time 21-151 min, the rate of heart beat returned spontaneously in 85% patients. The quality of life was...

Objective To investigate the management of cardiopulmonary bypass in the operation of heart valve replacement in patients with critical valvular heart disease. Methods Patients underwent cardiopulmonary bypass by hypothermia, membrane oxygenate, continuous oxygenated blood perfuse,high volume colloid priming. Results The cardiopulmonary bypass time ranged from 45 min to 223 min, the aortic crossing clamping time 21-151 min, the rate of heart beat returned spontaneously in 85% patients. The quality of life was satisfied in patients who survived the operation. Conclusion Proper management of cardiopulmonary bypass may decreased the perioperative mortality in patients with critical valvular heart disease.

目的探讨重症瓣膜疾病瓣膜置换术的体外循环方法及效果。方法均采用中低温26℃~31℃体外循环方法。选用膜式氧合器,大剂量胶体预充,冷或温氧合血持续灌注。结果本组体外循环时间为45~223min,心肌阻断时间为21~151min,心脏自动复跳率为85%,死亡2例,约占4%,余康复出院,随访生活质量满意。结论良好的体外循环管理可提高重症心脏瓣膜疾病救治率。

 
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