【doc】羟乙基淀粉在小儿体外循环预充液中应用

【doc】羟乙基淀粉在小儿体外循环预充液中应用 羟乙基淀粉在小儿体外循环预充液中应用 pathwayswcrelocatedinrightventriclein20Cases, in】eftventri~lein15andposteriorseptomin3.and multipleaccessorypathwaysin7.Amongthis ~t'iesofpatients.17casesassociatedwithcongenital heartdiseaseandmitralrestenosisundefwenlir1. tracardiaorepairandnIJira【valvereplacement Therewasno~arlyor】atedeath.Satisfactoryre- sultswithsurgicaltreatmentforpro-excitation syndrona~canbeobminedbywideranddeeperJnter? ruptiotitofKentbundle. Key0rds:Pro-excitationsvaldr~me:Interruption 0fKentbundle (Driginaarticle0p日t29) Surgkal,1瑚曲棚fof^sDsvdthAtriover.trieularVel- ~tllarIncompetenceandArrhythmhsinAdultsJia-yi ShenShahs.zhGap.Zhong-fanTu,etat.Department CardiothoracSurgery,FirstAffiliatedHospital, HnbeiM?jUnlverMtyWuhan430060 So~undumASDswesurgicallyrepairedin75 adultpatientsfromJune1973toDecemberi990. or22casesexaminedwithcolordopplerechocar. diographysince1987,2ease8{9)hadmitralin. compteace.2easestricuspidincompteace.and1 case(4.5ofmitra[andtricuspidincomptence,16 ofthepatients",&-ereassociatedwjtharrhythmias prepcerativdy.Satisfactoryinesu1tswereobtained bycornplererepairwithapatchforthe】argeASDs combinedwithappropriatemitraland/ortrJcu~;pld valvuioplasty,andmtellsivepedqoperati'~erllartagemerit. Tnecardiot11orectoratiodecreasedsignificantlyfrom operativevalueof0.56?0.05to0510.01postopcra. thepretively.Theincideliceofpostoperative arrhythraiawas13.5. Kwords:AdultASDs;Atrioventrieularvalvn~"in- comptence;Valvn~plasty;RepairofASD;An血州hm.旧 (OdginaIartlcleonpage133) ClinicalAEplieationofHemod:0mmicMonitorinEarly PeriodafterHeartValyeStwgeryunderExtracorporeal Circulation(4SCasesReport)Zhong-xueLi.Guo.cui Long.Yu-shengyen.elalDepartmentofThoradc 正CardiacSul~ery,FirstMilitaryMedicalUnh,ers#y. ZhufiangHospital,Guangzhou16082 op雠at{chemodynamicchangesfoIlowing heartvalvesm~geryweremonitoredusingSwan.Ganz catheter'n45easg$fromJuly1986toApri】1988The pulmonarycapiIlasywedgepressure(PCWP).pulmo? naryvascularresistanceVR)andss,stemicv0.~cular resistance(svInal1decreasedandcardiacoutputi13.- creasedsignificantlyinthetittlethhourpostoperatively. Thepatients'htallodynamicfeaturesshov,~dhi cardiacoutputandlowvascularresistanceduringthe first5hoursfollowingoperation,butafter6harem10ost. operatively,theywcreinthestateofhi曲vascular resistancemidlowcardiacoutput.Afterproper post?operativemanagementalIthepatientsrecovered smoothly. Keywords:I-Iemodyaaml:Heartvalvereplacement; :Swan-Ganz~Rth~l~l" (Originalarticleonpage拈 TheExperiencehtheSatca[Treatra~ntrVal,,1- larLes[onswithGiantHearti-fuMap.Shattg?zh, Gap.Zhong-fanTu.eta/DepartmentofThoYack andCardiovascularSu~geryFirstAffiliatedHosFitaf. H曲eiMedicalUmveslt)-.w1an43oo6o Between1984andl99I_2Ipatientsunderwent surgicalproceduresforvatve1eslonsresulting 1giantheart.Heart.tunerionwasNYHAdas iIIjn12andIVin9.Thecardiothoracicratiowas >0.70inlOca.~sand>0.90in工Therewere2opera- tiredeaths【9.5)and1latedeath.Afollow-up行om 6monthsto'years,showedthatsy~llptorcts?Teslg- niticantlyimprovedandheartsizemarkedlyredu- codTheauthorsemphasizethatchoiceoftypeof surgice【intervention.perioperativemyocara=alpro' tectionandtricuspidarmuloplastyarethekeypoints toimprovethesurgica【resultsinthesehigh?risk patients. Keywords:lfeartvalvedisease;Giantheart (Or曾inafarticle0page138) ClinicaITypesandOpeeativeIndicationsofCor Triatrlatum(Sradyof7Cases)WefZhang."'口n Renzhdo.kunQiu.DepartmentofCardiovascular St~rgery.Sha~tghaiChestHosffitdf.sh.nghai200003 Sevenpatlen~ofCorTriatriatumwerestudIcd 1nthisartideSixpatients(type1?underwent surgicaltreatrrmnt,resultingin5】ongsurvivalsand operativemortaljtyattributedtorefractory1ow cardiacoutputsyndrome.Onepatient(typeIIi1 hasbeenfollowedupsincethecorrectdiagnosiswas made.aresultofourstudiesthinkthatthe classificationofclinicaItypeI.II.Illispractieabie. TheoperativeindicationsforCorTriatriatumarethat: typeIpatientsshouldheoperatedimmedlatelyitype IIOReSbetreatedsurgicallyasearlyaspossible; andthattypeIllapesshouldbejust陆[1owedILp Keyr~ords:Cottrlatrlatum:Cllnlcaltype;Olrera|ive indlcation (Originalarticleotlp82tSO} Klippe-Trenammv'aSyndr~w,e:Rel~rtofStagedS. gical~reatmentof38Patients2"hi-quartWuXiao. pingJiang.Zi-plng胁.etaf.DepartmentofVascular Surgery.Rr5tHospltaEofNanchang,Nanchang330008 FromNover,her1987throughNoveraher1991.41 patientswithatota】of47impairedlimbsWerediag- nosedtohaveKlippel?Trenaunay'ssyndron:eand 38patientswet-etreatedhystagedsurgeryinvolving 44limbs.Theresultswereset,factory.Compe. teneaofIhediseaseddeepveinwasreinsthutedduring thefirstsurgicalpro*edurebyrelievingthecompres- s啪onveins】n37limbs.aLltOgenousV~tlOUSgraft jn4and"substitutevalve"in3Afterthedeepvein cornpeteaeewasrestOred,fiaesecondsurgicalpro? cedurewasperformedbyremovalofsuperficial varicoseveins. Keywm.ds:KlippeI-Treuatmay'ssyndrome;Staged sm'gicaltreatment