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| 【资源】2007年 23卷 2期《 中华胸心血管外科杂志 》 [精华] |
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约瑟福
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 2008-06-10 23:50      2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：73-75国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434新生儿先天性心脏病外科治疗进展石磊 刘锦纷上海交通大学医学院附属新华医院上海儿童医学中心心胸外科,200127摘 要:新生儿阶段先天性心脏病（先心病）高危病儿的比例极高，许多病种在这个阶段自然病死率很高：如大动脉转位（D-TGA）、完全性肺静脉异位连接（TAPVC）、肺动脉闭锁，室间隔完整型（PA／IVS）、左心发育不良综合征（HLHS）等。这些复杂先心病需在生后尽早纠治。随着心脏外科手术技术、体外循环以及围手术期监护技术的进步，这些复杂先心病的外科治疗取得了很大的进步，现对D—TGA、TAPVC、PA／IVS和HLHS的外科治疗进展作一综述。[第一段] 关键词:新生儿先天性心脏病 外科治疗 完全性肺静脉异位连接 左心发育不良综合征 复杂先心病 室间隔完整型 外科手术技术 大动脉转位 分类号: R541.1  新生儿先天性心脏病外科治疗进展.pdf (210.5k)
• 【求助】请教大侠这句英文如何翻译？ |
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约瑟福
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2008-06-10 23:50 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：76-78国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434改良Norwood手术临床应用庄建 张镜芳 温树生 陈欣欣 陈寄梅 岑坚正广东省人民医院广东省心血管病研究所心外科,广州510100摘 要:目的总结改良Norwood手术的临床应用经验。方法2004年7月和2005年3月分别为1例7月龄单心室伴左心室流出道梗阻女婴,采用主肺动脉和主动脉弓下缘直接吻合、主动脉肺动脉人工血管分流完成改良Norwood手术;1例出生13 d左心发育不良综合征新生儿,采用主肺动脉和主动脉弓下缘直接吻合、右心室肺动脉人工血管分流完成改良Norwood手术。结果例1术后平稳,动脉压为85～100/25～40mmHg（1 mm Hg=0．133kPa）,动脉血氧饱和度为0．75～0．85,术后第3d撤离辅助呼吸,第11 d出院。例2术后平稳,动脉压为65～80／40～60mmHg,动脉血氧饱和度为0．67～0．89,术后第12 d撤离辅助呼吸,第28 d出院。结论改良Norwood手术的先进方法和技术,值得在我国推广应用。[著者文摘] 关键词:心脏缺损,先天性 Norwood手术 分类号: R541.04[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Clinical experience with the modified Norwood procedureZHUANG Jian, ZHANG Jing-fang, WEN Shu-sheng, et al.Depart ment of Cardiac Surgery, Guangdong Cardiovasodar Institute, Guangdong Provincial People＇s Hospital, Guangzhou 510100, China Abstract:Objective To review the clinical experience with the modified Norwood procedure. Methods Between July 2004 and March 2005, two infants with complex congenital heart disease underwent the modified Norwood procedures. The first patient, a seven months old girl with single ventricle and left ventricular outflow tract obstruction, underwent direct anastomosis reconstruction of aorta and aortic to pulmonary artery shunt. The second patient, a 13 days old boy with hypoplastic left heart syndrome, underwent direct anastomosis reconstruction of aorta and right ventricle to pulmonary artery conduit, Results The first patient had an uneventful postoperative course with arterial pressure 85 - 100/25 - 40 mmHg and arterial oxygen saturation 75% - 85%, and discharged on the eleventh postoperative day. The second patient also had an uneventful postoperative course with arterial pressure 65 - 80/40 - 60mmHg and arterial oxygen saturation 67% - 89%, and discharged on the 28th postoperative day. Conclusion Although we have little experience at present, the nxJdified Norwood procedure may be proceeded with modern techniques in China.[著者文摘] Key words:Heart defects, congenital Cardiac surgical procedures Norwood procedure 改良Norwood手术临床应用.pdf (206.05k)
• 【转载】SCI收录的《中国神经再生研究（英文版）》杂志的出版宗旨 |
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约瑟福
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2008-06-10 23:51 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：78-79国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434右肺动脉起源于升主动脉1例并文献复习陈苏峰 梅举 鲍春荣 谢晓上海交通大学医学院附属新华医院胸心外科,200092摘 要:病儿女，6个月，体重4．5kg。哭闹后全身青紫5月余。查体：神志清楚，发育较差，轻度贫血貌，哭闹后发绀明显。气管居中，胸廓对称，双肺呼吸音粗，未闻及罗音，心前区无震颤，律齐，胸骨左缘2、3肋间可闻及1—2，Ⅵ级收缩期吹风样杂音，腹部无异常，无杵状指、趾。血压80150mmHg（1mmHg=0．133kPa）。[第一段] 关键词:右肺动脉起源于升主动脉 文献复习 轻度贫血 肺呼吸音 无震颤 心前区 收缩期 杵状指 分类号: R726.541 右肺动脉起源于升主动脉1例并文献复习.pdf (319.42k)
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约瑟福
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2008-06-10 23:52 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：80-83国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434低出生体重儿先天性心脏病手术预后的危险因素朱丽敏[1] 李书闻[2] 陈玲[1] 史珍英[1] 周燕萍[1] 徐志伟[1] 刘锦纷[1] 苏肇伉[1] 徐卓明[1] 侯嘉[3][1]上海交通大学医学院附属新华医院上海儿童医学中心心胸外科,200127 [2]首都医科大学附属北京安贞医院麻醉科 [3]首都医科大学附属北京安贞医院小儿心外科摘 要:目的总结低出生体重儿（LBWI）先天性心脏病（先心病）手术的围术期管理体会,分析其预后的危险因素。方法回顾分析22例低体重先心病手术病儿,出生体重855～2 500g,平均（2 168．41±416．16）g;孕26．57～40．43周,平均（36．23±3．00）周。手术年龄1～86d,平均（28．90±25．14）d,手术时体重1 790～3000 g,平均（2465．95±319．17）g。8例为非体外循环手术,14例为体外循环手术,常规改良超滤。结果5例病婴术毕延迟关胸。术后呼吸机支持,联合用药改善心功能。术后呼吸机使用5～1 080h;重症监护室滞留1～56 d;总住院12～85d。术后并发低心排出量综合征（LCOS）12例,肺部感染4例,肺动脉高压危象1例,房性早搏1例,左膈运动障碍1例。术后住院死亡3例,病死率13．64％,死因均为严重低心排出量综合征（LCOS）。单变量危险度分析显示,早产、低出生体重、导管依赖型先心病、复杂畸形和深低温信循环是发生LCOS或死亡的危险因素。结论LBWI先心病应早期手术,有利于减少因低氧血症和压力、容量负荷过重导致的器官功能二次损伤,从而提高术后生存率。[著者文摘] 关键词:婴儿,出生时低体重 心脏缺损,先天性 围术期医护 预后 危险因素 分类号: R722[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Risk factors of cardiac surgery in the low birth weight neonatesZHU li-min, LI Shu-wen, CHEN Ling, et al.Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Children＇ s Medical Center, Medical College of Shanghai Jiao Tong University,Shanghai 200127, ChinaAbstract:Objective To summarize the perioperative management of the low birth weight neonates with congenital heart disease and to evaluate the risk factors of cardiac surgery in these patients. Methods Twenty-two cases were included in this study. The mean birth weight, gestational age, age at operation and weight at operation were （2 168.41 ± 416.16）g （ranged from 855 to 2 500 g）, （36.23 ± 3.00）weeks （ranged from 26.57 to 40.43 weeks ）, （28.90±25.14） d （ranged from 1 to 86 d） and （2 465.95± 319.17） g （ranged from 1 790 to 3 000 g）, respeetively. Eight eases underwent the off-pump operation, and the other 14 cases underwent the operation by cardiopulmonary bypass （CPB）, which were given modified ultrafihration routinely. Five eases were delayed sternal closure after operation. All these 22 cases were given mechanical ventilation and were administered inotropic support, including Dopamine, Milrinone, Epinephrine and calcium. Results The mean time of postoperative mechanical ventilation was （200.67 ± 260.28） h （5 - 1 080 h）, the length of ICU stay was （11.89 ± 13.72） d （1 - 56 d）, the length of hospital stay was （33.53 ± 19.51） d （12 - 85 d）. Twelve patients developed LCOS （12/22, 54.5%） postoperatively. The other complications were pulmonary infection in 4 cases, pulmonary hypertension crises in 1 case, ardaythmia in 1 case and left diaphragmatic paralysis in 1 case. There were 3 hospital deaths with the mortality 13.64%. The main cause of death was severe low cardiac output syndrome. The mortality between Jan. 2000 and Dec. 2002 was 50% （3/6 cases）, which had significant difference with the mortality was 0 （0/16 cases） in the period of Jan. 2003 to Dec. 2005 year （ Х^2 = 9. 263, P = 0.013 ）. Univariate analysis showed premature, low birth weight, deep hypothermia cardiac arrest, ductus-dependent lesions and complex cases were the risk factors. However, age and weight at operation, palliative or corrective procedure, CPB and pulmonary hypertension did not influence mortality. Conclusion The advantage of early surgical intervention for the low birth weight neonates with congenital heart disease is to decrease the potential secondary effects of chronic cyanosis and of pressure and volume overload, which can decrease the mortality.[著者文摘] Key words  nfant, low birth weight Heart defects, congenital Perioperative care Prognosis Risk factors
低出生体重儿先天性心脏病手术预后的危险因素.pdf (253.29k)
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约瑟福
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2008-06-10 23:52 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：83-84国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434心上联合径路手术治疗新生儿和婴幼儿心上型完全肺静脉异位引流程沛 李京倖 吴永涛 伊放 李磊 黄保堂 罗毅首都医科大学附属北京安贞医院小儿心脏外科,100029摘 要:2004年6月至2006年4月我们采取心上联合径路吻合的手术方法矫治8例新生儿和婴幼儿心上型完全肺静脉异位引流（total anomalous pulmonary venous connection，TAPVC）者，现总结经验体会报道如下。[第一段] 关键词:全肺静脉异位引流 联合径路 心上型 婴幼儿 新生儿 手术治疗 pulmonary 手术方法 分类号: R541.104 心上联合径路手术治疗新生儿和婴幼儿心上型完全肺静脉异位引流.pdf (140.14k)
• 【翻译】这里怎么比较这些数据的 |
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约瑟福
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2008-06-10 23:53 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：85-88国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434一期纠治主肺动脉窗或右肺动脉起源于升主动脉张海波 徐志伟 苏肇伉 丁文祥上海交通大学医学院附属新华医院上海儿童医学中心心胸外科,200127摘 要:目的总结主肺动脉窗或右肺动脉起源于升主动脉的外科纠治经验。方法17例病儿中单纯主肺动脉窗5例,右肺动脉起源于升主动脉4例,主肺动脉窗伴主动脉弓中断、法洛四联症、房室间隔缺损、二尖瓣反流和气管狭窄等8例。1例无手术指征,16例行解剖纠治,平均手术年龄1．7岁;平均体重8．5 kg。结果手术无死亡。2例延迟关胸;1例再进胸止血。随访无死亡,无主动脉瓣上狭窄及肺动脉狭窄。结论主肺动脉窗及右肺动脉起源于升主动脉易早期产生肺动脉高压,一经诊断需立即手术。手术方式首选与伴发畸形一期纠治。主肺动脉窗及右肺动脉起源于升主动脉尽管多有伴发畸形,但早期手术纠治可获得较佳中、长期疗效。[著者文摘] 关键词:心脏缺损,先天性 心脏外科手术 分类号: R726.541[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Surgical repair of aortopuhnonary window and aortic origin of right pulmonary arteryZHANG Hai-bo, XU Zhi-wei, SU Zhao-kang , et al.Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Children＇ s Medical Center, Medical College of Shanghai Jiao Tong University, Shanghai 200127, China Abstract:Objective The prupose of this study is to describe our approach to the management of aortopulmonary window and aortic origin of right pulmonary artery. Methods From Apr. 2000 to Jan. 2006, 17 patients were hospitalized. The mean age was 1.7 years and mean body weight was 8.5 kg. The associated cardiac abnormalities included ventrieular septal defect, atrial septal defeet, interrupted aortic arch, tetralogy of Fallot, mitral valve regurgitation and tracheal stenosis. Results 16 patients underwent the single stage surgical repair and all survived. 1 patient had postoperative bleeding and received re operation. During follow-up, all patients are doing well. There were no supra-valve aortic stenosis and pulmonary stenosis. Conclusion For most patients with aortopulmonary window and aortic origin of right pulmonary artery, repair should be undertake at the time of diagnosis because of the risk of puhmonary vasctdar occlusive disease, Inpatients with associated abnormalities, single stage repair of all defects are recommended. Surgical repair of aortopulmonary window and aortic origin of right pulmonary artery, even when associated with other cardiac abnormalities, carries a low risk. Early surgical treatment would achieve excellent immediate and long-term results.[著者文摘] Key words:Heart defects, congenital Cardiac surgical procedures 一期纠治主肺动脉窗或右肺动脉起源于升主动脉.pdf (626.55k)
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约瑟福
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2008-06-10 23:53 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：88-89国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434婴儿原位心脏移植1例乔彬 宁岩松 吴莉莉 蒋怡燕 张锋泉 王同建济南军区心血管病研究所,山东250022摘 要:2005年12月28日，我们为一8月龄患有复杂先天性心脏病婴儿成功施行了原位心脏移植术，现病婴已生存1年余，生活质量良好，心功能Ⅰ级，未见明显排斥反应。[第一段] 关键词:原位心脏移植术 婴儿 复杂先天性心脏病 生活质量 排斥反应 心功能 分类号: R654.2 婴儿原位心脏移植1例.pdf (146.0k)
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约瑟福
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2008-06-13 19:57 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：90-92国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434婴幼儿主动脉缩窄的外科治疗郑景浩 徐志伟 苏肇伉 丁文祥上海交通大学医学院附属新华医院上海儿童医学中心心胸外科,200127摘 要:目的评价近年来婴幼儿主动脉缩窄（CoA）手术疗效。方法外科治疗118例婴幼儿主动脉缩窄病例。年龄21d～3岁,平均（1．8±1．1）岁;体重2．9～13．5 kg,平均（7．5±2．2）kg。单纯CoA或伴动脉导管未闭（PDA）32例,合并其他心内畸形86例,后者大部分在正中切口深低温停循环（DHCA）或深低温低流量（DHLF）下一期纠治CoA和合并畸形。术中停循环21～48min,平均（32．13±11．72）min。结果因肺高压危象和心律失常死亡2例,病死率1．7％。呼吸机应用11～256 h,平均（98．51±6．68）h。术后随访6～24个月,无神经系统并发症,6例有声音嘶哑,其中5例经正中胸骨切口、1例外侧切口进胸施术。超声检查示2例有残余主动脉缩窄,压力阶差分别为29和36min Hg（1mmHg=0．133 kPa）。结论CoA无论是否合并心内畸形,均主张早期手术,正中切口一期根治术手越来越成为首选方案;主动脉远端与主动脉弓下缘广泛端端吻合术（EEEA）等手术方法的应用扩大了手术根治的指征,也提高了术后疗效。[著者文摘] 关键词:主动脉缩窄 心脏外科手术 婴幼儿 分类号: R543.1[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 The experience for coartation of aorta in neonates and infantZHENG Jing-hao, XU Zhi-wei, SU Zhao-kang, et al.Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Children＇ s Medical Center, Medical College of Shanghai Jiao Tong University, Shanghai 200127, ChinaAbstract:Objective To evaluate the surgical effect of coaretation of aorta（CoA） in neonates and infants. Methods 118 cases of coarctation of aorta in neonates and infants, which were surgical treated in our hospital from March 1999 to December 2005. They aged from 21 days to 3 years and weighted from 2.9 kg to 13.5 kg. There were 32 cases of CoA or with PDA. In addition, there were 86 cases for COA with other associated cardiac anomalies. Many cases were performed through median stemotomy approach of one stage with DHCA or DHLF. The main approach of anastomosis included end-to-end, EEEA and extended end-side ascending aorta and aorta arch. The time for cardiopnlmonary bypass arrest was 21 - 48 min [ （32.13 ± 11.72） min. ] Results There are 2 cases died from crisis of pulmonary hypertension and arrhythmia after operation. The mortality was 1.7 %. The time with respirometer was 11 - 256 h [ （ 98.51 ± 6.68 ） h ]. With follow up of 6 - 24 months, the hoarseness appeared in 6 cases （5 cases through median stemotomy approach, 1 case through left posterolateral thoracotomy incision） . The restenesis in the end-to end anastomosis existed in 2 cases by ECHO with 29 mm Hg and 36 wan Hg, respectirely. Conclusion No matter whether CoA is complicated with or not, it is necessary for CoA to be surgical treated early. It is the fast choice to be one stage and median stemotomy approach for surgical treatment of CoA with associated cardiac malfomation. The technique of EEEA will not only enlarge the implication for CoA but also surge the effect of surgical treatment.[著者文摘] Key words:Aortic coarctation Cardiac surgical procedures Infant Child 婴幼儿主动脉缩窄的外科治疗.pdf (382.69k)
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2008-06-13 19:57 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：92-93国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434小儿先天性心脏病的镶嵌治疗莫绪明 张儒舫 顾海涛 孙剑 彭卫 戚继荣 钱龙宝南京医科大学附属南京儿童医院心胸外科,210008摘 要:随着小儿心导管技术的迅速发展，介入治疗已成为治疗先天性心脏病的一种重要手段，形成了先天性心脏病由传统的单纯手术治疗转向手术和介入共同治疗。介入治疗和外科治疗相互结合应用，以达到疗效最佳、创伤最小的治疗模式称为镶嵌治疗（hybrid therapy）。[第一段] 关键词:小儿先天性心脏病 镶嵌治疗 单纯手术治疗 介入治疗 心导管技术 共同治疗 相互结合 外科治疗 分类号: R725.411 小儿先天性心脏病的镶嵌治疗.pdf (149.41k)
• 【讨论】08年的执考分数线之猜想篇 |
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2008-06-13 19:57 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：94-96国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434体肺动脉侧支血管堵闭术在紫绀型先天性心脏病围术期的应用谢育梅[1] 张智伟[1] 李渝芬[1] 庄建[2] 陈欣欣[2] 钱明阳[1] 陈寄梅[2] 岑坚正[2][1]广东省人民医院心儿科,广州510080 [2]广东省人民医院小儿心外科,广州510080摘 要:目的评价经皮体肺动脉侧支血管堵闭术在伴有右室流出道或肺动脉梗阻的紫绀型先天性心脏病病儿围手术期应用的效果。方法2005年5月至2006年6月,共11例紫绀型先天性心脏病病儿分别选用弹簧圈和血管塞行经皮体-肺侧支血管堵闭术,7例于外科矫治手术前行侧支血管的堵闭,4例于术后进行介入治疗。结果共堵闭侧支血管19条;6例堵闭单条、5例同时堵闭多条侧支。术后造影显示14条侧支（74％）分流基本消失,5条（26％）大部分堵闭。结论在外科手术前或术后反复心、肺功能不全的病儿,进行体肺侧支血管的堵闭治疗是安全、有效的,有利于渡过围手术期,提高手术成功率,改善手术效果。[著者文摘] 关键词:心脏缺损,先天性 侧支循环 栓塞,治疗性 分类号: R541.1[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Systemic-to-pulmonary artery collateral vessels in pediatric patients with cyanotic congenital heart disease： treatment by transcatheter embolizationXIE Yu-mei, ZHANG Zhi-wei, LI Yu-fen, et al. Department of Pediatrics, Guangdong Provincial People＇ s Hospital, Guangzhou 510080, ChinaAbstract:Objective Systemic-to-pulmonary collateral vessels can develop in patients with obstruction of the fight ventricular outflow tract or the pulmonary artery. Occlusion of these vessels is necessary before or after surgical correction of the primary disease. Methods Between May 2005 and June 2006, transcatheter occlusion of aortopulmonary collateral vessels was performed in 11 pediatric patients with congenital heart disease. Patients ranged in age from 5 month to 16 years and in weight from d.5 to 46.0 kg. Cook coils and Amplatzer plugs were used to be occluded 19 vessels in 11 patients. In seven patients, occlusion was performed before surgery and in four after surgical correction. Results Procedure resulted in total occlusion in 14（74% ） and subtotal（26% ） in 5 of the target vessels. A single vessel was occluded in six patients and multiple vessels in five patients. A coil migrated to the right pulmonary artery in one patient. The coil was removed nonsurgically by a snare and occlusion with another size of coil was performed without further complication. Condnslon The results demonstrate that transcatheter occlusion can be an effective procedure for managing systemic-to-pulmonary vessels in children with congenital heart disease.[著者文摘] Key words:Heart defects, congenital Collateral circulation Embohzatiou, therapeutic 体肺动脉侧支血管堵闭术在紫绀型先天性心脏病围术期的应用.pdf (384.1k)
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约瑟福
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2008-06-13 19:58 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：96-96国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434室间隔缺损并感染性心内膜炎致肺动脉瓣受损反复肺部感染1例刘筠 阿依别克 张总刚 唐和年 郭永忠 马中原新疆维吾尔族自治区人民医院心脏外科,乌鲁木齐830000摘 要:病人 男，24岁。幼年发现先天性心脏病。因间断发热伴咳嗽8月余，咳白色带鲜红血丝黏液痰，于当地医院以考虑“肺结核”行利福平、异烟肼、乙胺丁醇、吡嗪酰胺四联抗结核治疗后症状曾好转。入院查体：胸骨左缘3—4肋间可闻及收缩期4／Ⅵ级杂音。实验室检查红细胞沉降率50mm／h，余未见明显异常。胸部CT示双肺纤维条索影，右上叶前段斑片影。拟诊肺结核。痰涂片未检出真菌及结核菌。血培养提示中间链球菌，青霉素敏感。心电图大致正常。彩色超声检查提示，右心大，胸骨旁左室长轴四腔心切面可见室间隔上端回声中断6mm，断端回声增强，肺动脉瓣见一约20mm×12mm条索状回声，边缘不规整，随血流飘动。诊断：室间隔缺损（膜周），右心大，肺动脉扩张并肺动脉瓣上赘生物。[第一段] 关键词:室间隔缺损 肺动脉瓣 感染性心内膜炎 反复肺部感染 先天性心脏病 红细胞沉降率 彩色超声检查 回声中断 分类号: R654.2 室间隔缺损并感染性心内膜炎致肺动脉瓣受损反复肺部感染1例.pdf (72.07k)
• 【翻译】这里怎么比较这些数据的 |
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约瑟福
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2008-06-13 19:58 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：97-99国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434二期Fontan术治疗小儿复杂先天性心脏病郑景浩 徐志伟 苏肇伉 丁文祥上海交通大学医学院附属新华医院上海儿童医学中心心胸外科,200127摘 要:目的总结二期Fontan术纠治小儿危重复杂先天性心脏病治疗经验。方法28例复杂心内畸形病儿进行二期Fontan术。年龄3．0～16．5岁,平均（7．3±3．8）岁;体重13．5～61．0 kg,平均（21．0±5．5）kg。主要为无脾综合征、多脾综合征、三尖瓣闭锁（TA）及房室连接不一致的右室双出口（DORV）等。一期分别行单侧Glenn、双侧Glenn、半Fontan术。两次手术间隔0．8～7．3年,平均（3．9±2．8）年,其中5例在Glenn术前行体肺动脉分流术。术前均行二维多普勒超声检查,23例行心导管和心血管造影检查。术中采用4种不同的连接方法将下腔静脉的血引流入右肺动脉,完成二期的全腔肺血管连接术（TCPC）。结果术后死亡4例（14．2％）。虽然采取综合措施降低肺血管阻力和增加回心血量,术后仍有12例发生低心输出量综合征,其中肾功能受损导致无尿而行腹膜透析术8例。2例右房和腔静脉内有血栓形成,再次进胸手术取栓后好转。吸入空气的动脉血氧饱和度在0．89～0．95。门诊随访3个月～2年,无死亡。无慢性渗出、蛋白丢失肠病等并发症。结论分期TCPC术可放宽对复杂先天性心脏病手术指征,并能增加手术成功率。分期TCPC术中心外管道的应用有许多优点。[著者文摘] 关键词:心脏缺损,先天性 Fontan手术 分类号: R654.2[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Two stage Fontan operation for complex congenital heart disease in childrenZHENG Jing-hao, XU Zhi-wei, SU Zhao-kang, et al.Department of Pediatric Cardiothoracic Surgery, Xin Hua Hospital, Shanghai Children＇ s Medical Center, Medical Colloge of Shanghai Jiao Tong University, Shanghai 200127, ChinaAbstract:Objective To review the experiences of two stage Fontan operation for complex congenital heart disease in children. Methods There are 28 patients with cyanotic complex congenital heart disease. Aged from 3.0 to 16.5 years and weighted from 13.5 to 61.0 kg. The main diseases included polysplenia, asplenia syndrome, tricuspid atresia. The initial surgical procedures included Glenn, double-Glenn or hemi-Fontan. Pre-operative assessment was performed in 23 patients by ECHO and Cath. The time interval between two operations was 0.8 - 7.3 years. The two-stage Fontan operation was performed through fore： different methods of connecting blood flow IVC to right pulmonary artery. Results The mortality was 14.2% （4 cases）. Early postoperative complications were low cardiac output in 12 patients, renal dysfunction in. Re-operation was performed operation in two eases to get rid of the thrombus in the atrium. The 02 saturation ranged 0.89 - 0.95. The time of follow-up is from 3 months to 2 years and the results are satisfying. Conclusion two-stage Fontan operation （two stage TCPC） suited more for complex congenital heart disease such as polysplenia and asplenia syndrome extracardiac conduit is used in the two stage Font,an operation with much benefit.[著者文摘] Key words:Heart defects, congenital Fontan procedure 二期Fontan术治疗小儿复杂先天性心脏病.pdf (210.92k)
• 【转载】支持尽快修改现行《中华人民共和国执业医师法》的来签名 |
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约瑟福
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2008-06-13 19:59 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：100-102国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434无创机械通气在婴幼儿心胸外科监护室的应用周燕萍 史珍英 蔡及明 陈玲 徐志伟 苏肇伉上海交通大学医学院附属上海新华医院上海儿童医学中心心胸外科,200127摘 要:目的评价无创机械通气（noninvasive ventilation,NIV）在婴幼儿心胸外科监护室的应用价值。方法2004年1月至2005年12月,先天性心脏病（先心病）行纠治术3 588例,拔除气管插管后因不同原因导致呼吸衰竭127例,在病因治疗同时实施无创机械通气支持（NIV组）51例,给予气管内置管行有创机械通气支持（CMV组）76例。结果NIV组和CMV组成功脱离机械通气分别为41、60例,治疗失败8、11例,死亡2、5例,差异均无统计学意义;两组机械通气支持时间分别为2～92（39．78±26．22）h、29～552（118．1±108．6）h,监护时间48～308（160．3±79.3）h、73～660（235．7±143．6）h,差异均有统计学意义。结论NIV在婴幼儿心胸外科监护室的应用安全、简单、有效;无创机械通气的启用和撤离灵活,是早期撤离呼吸机的有利保证,可避免再次气管插管和相应的并发症;但应用1 h后临床症状无改善者,应及时气管插管,行有创机械通气支持.[著者文摘] 关键词:呼吸,人工 心脏缺损,先天性 麻醉后护理 婴儿 儿童 分类号: R654[机标]文献标识码：文章编号：栏目信息：小儿心外科 相关文献:主题相关 全文快照 Clinical application of noninvasive ventilation in CICUZHOU Yon-ping, SHI Zhen-ying , CAI Ji-ming , et al.Department of Cardioawracic Surgery, Xinhua Hospital, Shanghai Children＇ s Medical Center, Medical College of Shanghai Jiao Tong University , Shanghai 200127, ChinaAbstract:Objective To evaluate the clinical effects of noninvasive ventilation （N/V） on patients undergone corrective cardiac surgery in cardiac intensive care unit （CICU）. Methods 3 588 patients undergoing cardiac surgery for congenital heart diseases （CHD） from 2004.1 - 2005.12 were enrolled in this study. 127 children developed respiratory failure after extubation postoperatively for different reasons. Treatments were given for51 children with NIV （group NIV） and 76 children with conventional mechanical ven- tilation （group CMV）. Results The number of successful extubafien, treatment failure and death was 41,8 and 2 cases respectively in group N/V, while 60,11 and 5 cases in group CMV. There was no significant difference between two groups. Mechanical ventilation time and ICU stay was 2 - 92 （39.78 ± 26.22） h and 48 - 308 （160.3 ± 79.3） h in group NIV, which were significant shorter than those29-552 （118.1±108.6） hand 73-660 （235.7-143.6） hin group CMV. Conclusion It is asafe, easy and effective method to apply N/V for children after cardiac surgery in CICU. It brings convenience for using and weaning off mechanical ventilation. Besides, it gives strong assurance for early extubation, avoids reintubation and its cemplicatien. If there was no improvetr-nt in clinical symptom, conventional mechanical ventilation support should be given in time.[著者文摘] Key words:Respiration, artificial Heart defects, congenital Postanesthesia nursing Infant Child 无创机械通气在婴幼儿心胸外科监护室的应用.pdf (215.46k)
• 【讨论】检验海洋问候各位朋友了 |
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约瑟福
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2008-06-13 19:59 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：103-103国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434错位折叠法矫治主动脉瓣脱垂伴关闭不全赵天力 胡建国 杨一峰中南大学湘雅二医院小儿心脏外科,长沙410011摘 要:2002年5月至2005年12月，我们采用主动脉瓣错位折叠成形方法治疗8例室间隔缺损（室缺）合并主动脉瓣脱垂和关闭不全病儿，临床效果满意，现总结报道如下。[第一段] 关键词:主动脉瓣脱垂 关闭不全 折叠 错位 矫治 室间隔缺损 临床效果 分类号: R654.2 错位折叠法矫治主动脉瓣脱垂伴关闭不全.pdf (249.95k)
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约瑟福
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2008-06-13 20:00 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：104-106国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434心脏破裂伤的急救殷桂林 王荣平 胡建才 朱水波 张晓明 刘勇 郗二平 谭焱广州军区武汉总医院心胸外科,武汉430070摘 要:目的总结心脏破裂伤的急救体会。方法38例心脏破裂伤病人,平均年龄（32．5±10．5）岁。心脏刀刺伤35例,心脏挤压伤2例,鱼叉刺伤1例,均急诊行开胸探查术,修补心脏裂口,同时处理合并损伤。术中回输自体血800～6000 ml。结果术中、术后共死亡3例。1例术后神志障碍,高压氧治疗2周,术后1年恢复正常;1例心脏贯通伤病人,先行ERT修补心脏左、右室裂伤,1个月后行外伤性室间隔缺损介入封堵,顺利出院;3例术后心包积液者经处理后痊愈;其余病人恢复良好,心功能Ⅰ级。结论紧急剖胸解除心脏压塞、修补心脏伤口、控制出血是心脏破裂伤救治成功的关键。[著者文摘] 关键词:心脏损伤 心脏破裂 急救 心脏压塞 分类号: R654.2[机标]文献标识码：文章编号：栏目信息：论著 相关文献:主题相关 全文快照 Emergency treatment of cardiac penetrating injuryYIN Gui-lin, WANG Rong-ping, HU Jian-cai, et al. Department of Cardiothoracic Surgery, Wuhan General Hospital of Guangzhou Command, Wuhan 430070, ChinaAbstract:Objective To review the experience of emergency treatment of cardiac penetrating injuries. Methods Thirty-eight cases of cardiac penetrating injury undergoing emergency thoracotomy were reviewed. There were 36 males and 2 females. Among them, heart stab injury in 36 （35 by knife, 1 by fish fork） and heart blunt injury in 2. The patients＇ age ranged from 15 to 50 years old, with the average age of （32.5 ± 10.5） years. Emergency thoracotomy was performed in the emergency room in 19 cases, and in the operating room in 19. Left anterior lateral incision was chosen in 31 cases, thorac.o-abdominal incision in 2, right anterior lateral incision combining transverse sternotomy in 2, right anterior lateral incision in 1 and median splitting incision in 2. Heart wounds were sewed up and comphcated injuries were all treated at the same time. Auto-transfusiou of shed blood was carried out during the surgery （800-6000ml）. Resets onepatient dieddm＇ingtheoperatiouand2 diedpestopemtively. Total mortality was8.3%. onecase occurred to disturbance of consciousness postoperatively and awaked 2 weeks later by hyperbaric oxygen treatment. One patient with cardiac penetration injury to the ventrictdar septal defect was treated by intervenfional sealing therapeutic procedures 1 month later after ERT. Conclusion Emergency thoracotomy for removing cardiac tarnpenade, sewing up heart wounds and cantrolling life-threatening hemorrhage are the key point in treating cardiac penetrating injury.[著者文摘] Key words:Heart injuries Heart rapture First aid Cardiac tampenade 心脏破裂伤的急救.pdf (202.66k)
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2008-06-16 21:37 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：107-109国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434不停跳冠状动脉旁路移植术中血流动力学的改变及处理胡旭[1] 苏丕雄[2] 高杰[2] 刘岩[2] 张希涛[2] 颜钧[2] 顾松[2][1]三峡大学第一临床医学院宜昌市中心人民医院心外科,湖北443003 [2]首都医科大学附属北京朝阳医院心脏外科摘 要:目的分析不停跳冠状动脉旁路移植（OPCAB）术中血流动力学变化特点,探讨维持血流动力学稳定的管理措施。方法2005年1月至8月连续100例病人接受OPCAB。共完成旁路血管313支,平均（3．1±0．7）支。术中监测每支冠脉远端吻合时的血流动力学指标,分析其变化特点。术中采取了心包悬吊、心脏位置改变、确保吻合口质量及合理应用血管活性药物等一系列管理措施,维持术中血流动力学稳定。结果前降支（LAD）远端吻合时,血流动力学变化较小。重建LAD血供后,平均动脉压（MAP）、左室运动指数（INSWI）、每搏输出指数（SI）、心排指数（CI）等指标升高。侧壁、下壁冠脉回旋支（LCX）、后降支（PDA）、左室后支（PLB）、钝缘支（OM）的远端吻合时,血流动力学波动大,心率（HR）、中心静脉压（CVP）明显升高,MAP、CI、右室舒张末容积（RVEDV）、LVSWI、右室做功指数（RVSWI）有明显下降。术毕CI明显改善。全组无死亡,除1例术中因血流动力学持续不稳定改为体外循环下手术和术后2例发生二次开胸止血外,无其他严重并发症,心绞痛缓解,心功能明显改善,均顺利出院。结论OPCAB术中,LAD远端吻合时血流动力学波动小,重建血供后,心肌收缩功能改善。侧壁、下壁冠脉远端吻合时血流动力学波动大。术中采用心包悬吊、心脏体位改变、保证吻合口质量及血管活性药物的合理应用等一系列措施是确保手术成功的关键。[著者文摘] 关键词:冠状动脉分流术 血流动力学 分类号: R774.6[机标]文献标识码：文章编号：栏目信息：论著 相关文献:主题相关 全文快照 The hemodynamic changes and managements in off-pump coronary artety bypass surgeryHU Xu , SU Pi-xiong, GAO Jie, et al. Department of Cardiac Surgery, The First College of Clinical Medical Science, China Three Gorges University, Yichang Central People＇ s Hospital, Wuhan 443003, China.Abstract:Objective To analyze the characteristic of hemodynamic changes in different anastomosis sites dunng OPCAB, and investigate the appropriate management for maintaining hemodyamic stability. Methods From Jan. 2005 to Jul. 2005, 100 patients underwent OPCAB were chosen consecutively. The grafts were 312 overall, and it averaged 3.1 - 0.7 a patient. Hemodynamic indexes were consecutively monitored during operation and the characteristic of hemodynamic changes were analysed. At the same time, we summarize the managements to maintain the hemodynamic stability including pericardiac suspensory, heart positioning, quality of anastomosis and use blood vessel drug rationally etc in order to elevate the operation success rate. Results When the coronary of lAD were anastomosed, the hemodynamic indexes have no obvious changes. After the anastomosis, the indexes such as MAP, LVSWI, SI, CI increased. The hemodynamic changed obviously when displacing heart for the LCX, PDA, PLB, OM distal anastomosis. In this positioning, HR, CVP markedly increased. On the other hand, MAP, CI, SI, RVEDV, L or R-VSWI decreased significantly. CI improved at the end of operation. All patients had no serious comphcations and restored to health with the symptoms alleviated and myocardiac function improved except for one patient was converted to conventional CABG for hemodynamic instability when displacing heart and two patients were rceperated for bleeding. Conclusion Anastomosis at the LAD in OPCAB has little hemodynamic deterioration. The finish of anastomosis could improve the myocardial performance. However, hemodynamics changed significantly during lateral and posterior wall anastomosis. These managements improving the success rate and myocardial function were pericardiac suspensory,heart positioning, quality of anastomosis and so on.[著者文摘] Key words:Coronary artery bypass Hemodynamic 不停跳冠状动脉旁路移植术中血流动力学的改变及处理.pdf (189.13k)
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2008-06-16 21:38 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：110-113国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434肺腺癌VEGF-C、VEGF-D的表达与MVD、MLVD及淋巴转移的关系赵小刚 董晓鹏 彭传亮山东大学第二医院胸外科,济南250033摘 要:目的探讨肺腺癌中VEGF-C、VEGF-D与微淋巴管密度MLVD（VEGFR-3）、微血管密度MVD （CD34）及淋巴结转移之间的关系。方法免疫组化检测48例肺腺癌组织中VEGF-C、VEGF-D、MLVD、MVD蛋白的表达。结果VEGF-C、VEGF-D蛋白阳性率分别为70．8％（34／48例）、58．3％（28／48例）,肿瘤周边部位显著高于肿瘤中心部位,具有统计学意义,其表达与肿瘤分化程度无关,与肿瘤的TNM分期有关,Ⅲ～Ⅳ期显著高于Ⅰ～Ⅱ期。在VEGF-C蛋白阳性组,MVD高于阴性组（P=0．016）,MLVD显著高于阴性组（P=0．006）,淋巴结转移（P=0．042）增多;而VEGF-D蛋白阳性组与阴性组相比MVD无显著差异（P=0．943）, MLVD高于阴性组（P〈0．01）,淋巴结转移（P=0．012）增加。结论VEGF-C的表达与肺腺癌血管生成及淋巴管生成和淋巴结转移关系密切,而VEGF-D的表达只与淋巴管生成和淋巴结转移关系密切,与血管生成无关。[著者文摘] 关键词:肺肿瘤 内皮,血管 内皮生长因子 受体,生长因子 抗原,CD34 分类号: R737.33[机标]文献标识码：文章编号：栏目信息：临床研究 相关文献:主题相关 全文快照 The impact of VEGF-C and VEGF-D expression on MVD, MLVD and lymph node metastasis of lung adenocarcinomaZHAO Xiao-gang, DONG Xiao-peng, PENG Chuan-liang. Department of Thoracic Surgery, Second Hospital, Shandong University, Jinan 250003, ChinaAbstract:Objective To investigate the relationship of VEGF-C, VEGF-D, microlymphatic vessel density （MLVD）, microvessel density （MVD） and lymph node metastasis in lung adenocarcinoma. Methods The expression of VEGF-C, VEGF-D, MLVD and MVD was assayed by means of immunohistochemistry in 48 cases with lung adenocarcinoma. Results Among 48 cases of lung adenocarcinoma, the positive rates of VEGF-C and VEGF-D were 70.8 % （34/48） and 58.3 % （28/48）, respectively. The expression of VEGF-C, VEGF-D in cancerous invasive edge was significantly higher than that in the center of cancerous tissues. There was no correlation between the expression of VEGF-C, VEGF-D and differentiation. Stages Ⅲ-Ⅳ of lung adenocarcinoma showed strong expressions of VEGF-C, VEGF-D than that of stage Ⅰ-Ⅱ diseases. The MVD, MLVD and positive lymph node in positive VEGF-C group were higher than those in the negative group were. The MLVD and positive lymph node in positive VEGF-D group were higher than those in the negative group were. Conclusion VEGF-C is related with the angiogenesis, lymphangiogenisis and lymph node metastasis in lung adenoearcinoma. However, VEGF-D is only related with lymphangiogenisis and lymph node metastasis, not with angiogenesis.[著者文摘] Key words:Lung neoplasms Endothelium, vascular Endothelial growth factors Receptors, growth factor Antigens, CD34 肺腺癌VEGF-C、VEGF-D的表达与MVD、MLVD及淋巴转移的关系.pdf (630.9k)
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2008-06-16 21:38 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：113-113国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434肺癌术后结肠转移1例卢勇 韩毓国 李永灿 杨洪哲 焦凤霞梅河口市医院胸外科,吉林135000摘 要:病人 男，80岁。刺激性咳嗽、痰中带血6个月。查体：双肺底可闻及哮鸣音．余无阳性体征，胸部CT见右肺下叶4．5cm×5．5cm类圆形分叶状软组织密度影，并可见胸膜凹陷征：纤维支气管镜检查未见异常。[第一段] 关键词:结肠转移 肺癌术后 纤维支气管镜检查 刺激性咳嗽 胸膜凹陷征 痰中带血 阳性体征 组织密度 分类号: R735.35 肺癌术后结肠转移1例.pdf (256.1k)
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2008-06-16 21:38 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：114-116国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434镍钛合金组合式人工食管替代食管术后新生食管的形成与重构梁建辉 黄世章 黄健民 郑兆斌 俞晓立广州医学院第二附属医院胸外科,广东510260摘 要:目的观察镍钛合金组合式人工食管替代食管术后,新生食管的形成及重构。方法22只猪通过手术切除一段长约7 cm的胸段食管,应用镍钛合金组合式人工食管替代切除的胸段食管建立实验动物模型。对置入人工食管术后1、2、3、6个月各时段出现植入人工食管脱落移位的12只实验动物,进行X线食管造影,然后剖杀,对比观察各时段形成的新生食管的大体形态,镜下管体组织细胞结构的变化。结果12只实验动物中6只早期脱管（术后1个月内）,3只并发吻合口瘘和脓胸,另3只则出现严重吻合口狭窄;余6只脱管时间超过1个月,未发生吻合口瘘和胸腔感染,仅出现不同程度的新生食管狭窄和进食困难。镍钛合金组合式人工食管替代食管术后1个月,人工食管外壁形成一条以结缔组织膜包绕,连接正常食管两端的管道。2～3个月的新生食管管体结构,除中间狭窄部分为结缔组织外,已形成与正常食管4层组织结构相似的纤维肌性管道。3～6个月新生食管管体组织结构呈现肉芽组织增生、瘢痕组织形成的重构过程。全程未发现腺体组织。结论镍钛合金组合式人工食管作为修复材料重建食管通道置入人体后,诱导出由结缔组织包绕人工食管外壁的管道,新生食管在随后的重构过程中发生肉芽组织增生,瘢痕组织形成的转化过程,最终形成一条没有收缩功能、黏膜面覆盖复层鳞状上皮的瘢痕性管道。[著者文摘] 关键词:食管人工器官 动物替代试验 分类号: R735.105[机标]文献标识码：文章编号：栏目信息：实验研究 相关文献:主题相关 全文快照 Experimental study of construction of the neoesophagus following a nitinol alloy composite artificial esophagus replacement of esophagusLIANG Jian-hui, HUANG Shi-zhang, HUANG Jian-min, et al.Department of Chest Surgery, The Second Afftliated Hospital of Guangzhou Medical College, Guangzhou 510260, ChinaAbstract:Objective To observe the construction of the neoesophagus following a Nitinol alloy composite artrificial esophagus replacement of esophagus. Methods Nitinol alloy composite artificial esophagus was made up of Nitinol tube coated with a silicone membrane with a dacron flange 1 cm proximal to each end. A segment of 7 cm long thoracic esophagus was excised and replaced with this graft. Replacement was done in 22 pigs. After the operation, in 12 pigs the grafted prostheses sloughed out spontaneously in 1, 2,3,6 months were examined by esophagography and were killed for autopsy. The neoesophagus modality, histiocyte construction was observed. Results Six of 12 pigs the grafted prostheses sloughed out spontaneously within 30 days after the operation. Three pigs had anastomotic leakage and pyothorax. The other had serious stenosis at the site of anastomosis. Six of 12 pigs the grafted prostheses sloughed out spontaneously after a month postoperafion. All had various degrees of the neeesophagus stenosis and difficulty in eating. One month after the operation the artificial esophagus was surrounded by a tube made of connective tissue. 2 - 3 months later, the neeesophagus showed a thin stratified squamous epithelium over a thick layer of Fthrous connective tissue and smooth muscle layers at both ends similar to the normal esophageal constitution. Between 3 - 6 months, the neeesophagus histology become a scar tube. Conclusion In the course of the formation and re-construction of the neeesophagus, the granulation tissue is gradually replaced by scar tissue. At last, the neoesophagus become aperistaltic.[著者文摘] Key words:Esophagus Artificial organs Animal testing alternative 镍钛合金组合式人工食管替代食管术后新生食管的形成与重构.pdf (390.03k)
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2008-06-19 18:52 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：117-118国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434结缔组织生长因子在大鼠移植肺急性排斥反应期的表达及意义袁运长 王电军 尹邦良中南大学湘雅二医院胸心外科,长沙410011摘 要:目的检测结缔组织生长因子（CTGF）在大鼠移植肺内的表达,并探讨其与移植肺纤维化关系。方法Wister大鼠15只为供体,SD大鼠15只为受体,进行原位左肺移植,1周后取其中10例移植肺标本作为实验组;10例健康Wister大鼠肺标本作为对照组,采用免疫组化方法检测CTGF在肺组织中的表达,同时采用HE及Van Gieson染色观察肺组织病理形态;并进行纤维化的半定量评分。结果移植肺组织内有大量炎性细胞浸润;肺间质纤维组织增生,部分肺泡组织破坏;CTGF在移植肺组织中有明显表达,而正常肺无表达。结论在肺移植术后的急性排斥反应期CTGF有明显表达,且可能参与移植肺纤维化的病理过程。[著者文摘] 关键词:肺移植 移植物排斥 生长物质 结缔组织 转化生长因子β 分类号: R285.5[机标]文献标识码：文章编号：栏目信息：实验研究 相关文献:主题相关 全文快照 Expression of connective tissue growth factor in acute lung allograft reft rejection after lung transplantation in ratsYUAN Yun- chang, WANG Dian-jun, YIN Bang-liang.Department of Cardiovascular Surgery, The Second Affiliated Hospital, Central-South University, Changsha 410011, ChinaAbstract:Objective To investigate the role of connective tissue growth factor （CrGF） in lung allograft rejection in rats. Methods The lungs of 15 Wister rats were transplanted into 15 Sprague-Dawely （SD） rats. The 10 transplanted lung were harvested one weeks postoperation （test group）, and another 10 normal Wister rats lungs as control group. The paraffin sections of harvested lung specimens were stained by hematoxylin and eosin （HE）, Van Gieson （VG） for examination d tissue morphology under microscope. The expression of CrGF was studied by immunnohistochemical method. Results There are significant inflammatory cellular infihration in the hmg tissue. The lung interstitial is light fibross and the alveolus is destroyed partly examined from tissue morphology in transplanted lungs. The CTGF protein was not expressed in normal rats. However, they were detected in pulmonary allograft one week postoperation. Concluaion There were expression of CTGF protein in acute pulmonary aUograft rejection and those are correlat- ed with transplanted pulmonary fibrosis.[著者文摘] Key words:Lung transplantation Graft rejection Growth substances Connective tissue Transforming growth factor beta 结缔组织生长因子在大鼠移植肺急性排斥反应期的表达及意义.pdf (320.28k)
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2008-06-19 18:52 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：119-120国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434单向活瓣补片并肺动脉内置管应用PGE1治疗严重肺动脉高压杨志远 谢周良 葛振伟 顾以茼 王佳祥 程兆云河南省人民医院心外科,郑州450003摘 要:2002年3月至2005年3月我们为15例先天性心脏病（CHD）室间隔缺损（VSD）并重度肺动脉高压（PH）双向分流病人进行了治疗，现总结报道如下。[第一段] 关键词:重度肺动脉高压 单向活瓣补片 PGE1 治疗 内置管 先天性心脏病 室间隔缺损 双向分流 分类号: R654.2 单向活瓣补片并肺动脉内置管应用PGE1治疗严重肺动脉高压.pdf (319.74k)
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2008-06-19 18:53 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：120-120国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434高压气体致食管穿孔1例董圣军 张连国 张庆广 封赞祥滨州医学院附属医院胸心外科,山东256603摘 要:病人男,50岁。高压气体自口腔冲入后胸闷憋气24h。查体：喘憋貌,广泛皮下气肿。左肺呼吸音粗,右下肺呼吸音稍低,未闻及干、湿性罗音。X线胸片示右侧气胸,已行胸腔闭式引流术,引流液呈浑浊血性,并见絮状沉淀。CT检查示右侧少量胸腔积液。[第一段] 关键词:高压气体 食管穿孔 行胸腔闭式引流术 少量胸腔积液 肺呼吸音 右侧气胸 X线胸片示 胸闷憋气 分类号: R459.6 高压气体致食管穿孔1例.pdf (249.97k)
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2008-06-19 18:53 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：121-122国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434心脏移植术后并发急性肾功能衰竭的处理吴锡阶 陈良万 陈道中 邱罕凡福建医科大学附属协和医院心脏外科,福州350001摘 要:心脏移植已经成为治疗各种终末期心脏病的有效治疗方法，急性肾功能衰竭（ARF）是心脏移植术后早期最严重的并发症，病死率高。如何处理急性肾功能衰竭对降低心脏移植术后早期的死亡率有着积极重要的意义。我们自从1995年开展临床心脏移植以来，已完成临床心脏移植89例，其中5例在移植术后发生急性肾功能衰竭，现总结治疗经验如下。[第一段] 关键词:急性肾功能衰竭 心脏移植 术后并发 终末期心脏病 治疗方法 术后早期 移植术后 治疗经验 分类号: R692.5 心脏移植术后并发急性肾功能衰竭的处理.pdf (320.49k)
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2008-06-19 18:54 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：122-122国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434儿童肺多发性硬化性血管瘤1例潘旭波 于文芳 徐振光青岛大学医学院附属烟台毓璜顶医院病理科,山东264000摘 要:病儿 女,12岁。体检发现右肺中叶结节,在外院经抗炎、抗结核治疗6个月无效。胸部CT示右肺中叶近肺门处多个结节,最大者2．5cm×2．5cm,边缘光滑,无空洞,中叶肺见点状钙化影（图1）。纤维支气管镜检查未见异常。术前诊断右肺中叶肿物,考虑为结核球？炎性假瘤？良性肿瘤？低度恶性肿瘤？[第一段] 关键词:右肺中叶 硬化性血管瘤 多发性 纤维支气管镜检查 儿童 低度恶性肿瘤 多个结节 抗结核治疗 分类号: R563.404 儿童肺多发性硬化性血管瘤1例.pdf (252.56k)
• 【转载】《中国组织工程研究与临床康复》（CRTER）编委会的学术权威性 |
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约瑟福
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2008-06-20 18:19 2007年 23卷 2期《 中华胸心血管外科杂志 》 Chinese Journal of Thoracic and Cardiovascular Surgery起止页码：123-123国际标准刊号：ISSN 1001-4497国内统一刊号：CN 11-2434微创封堵术治疗房间隔缺损孙勇 舒涛 廖崇先 杨谦 单忠贵 邱风 强海峰 陈江华 苏茂龙厦门大学附属中山医院厦门心脏中心心血管外科,福建361004摘 要:2005年3月至2006年3月，我们使用微创封堵术治疗42例房间隔缺损（ASD）病人，取得良好效果，现报道如下。[第一段] 关键词:房间隔缺损 微创封堵术 治疗 分类号: R654.2 微创封堵术治疗房间隔缺损.pdf (75.84k)
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约瑟福
医博园版主
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