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升主动脉

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No aorta-clamping is a feasible,effective and safe technique for myocardial protection during CPB.The technical skill of preventing air embolism should be emphasized.

体外循环下不阻断升主动脉心内直视术是临床效果满意,安全有效的心肌保护方法,心腔气体排出的技术要予以强调。

Methods 35 cases were performed with left ventriculogram, ascending aortogram and selective coronary arteriogram including hepatoclavicle, long axial oblique, right anterior oblique, posteroanteroposterior and latercal projections.

35例均采用肝锁位、长轴斜位、右前斜位、后前位及侧位分别进行左心室、升主动脉和选择性冠状动脉造影。

RESULTS There were no complications relating to ECC in all of the 240 infants.The ECC time ranged from 49 min to 184 min and the aorta cross-clamp time ranged from 17 min to 110 min.The ultrafiltration volume ranged from 150 ml to 400 ml. The intraoperative Hct ranged from 16% to 20% and the hematocrit after MUF ranged from 30% to 39%.The mechanical ventilation support time after operation ranged from 6 h to 72 h.

结果 240例患儿未发现同ECC有关的并发症,ECC时间为49~184 min、升主动脉阻断时间17~110 min,改良超滤滤出液体150~400 ml,全组患者术中Hct维持0.16~0.20,改良超滤结束Hct为0.30~0.39,术后呼吸机辅助时间6~72 h,24 h胸腔引流量30~110ml,术后输入库血量100~200 ml。

The changes of blood and ultrastucture were more significant in the group receiving ouabain injection and high salt feeding.

血压升高的大鼠其心脏及升主动脉超微结构明显变化,尤以联合干预者为著。

Patients in group L received 100mg of lidocaine by way of oxygenator 1 minute before releasing the aortic cross-clamping,and 12 patients in group C received 5ml of saline.

将24例冠心病患者随机分成2组:利多卡因组和对照组。L组12名患者于升主动脉开放前1min通过膜式氧合器的给药旁路给予100mg的利多卡因;C组给予5ml的生理盐水。

Therefore, the value of two-dimensional echocardiography (2DE) to assess the right ventriciular outflow in 21 children (Aged 2 years to 13 years, mean 6+/- 3.3 years)with TOF was studied using a new subcostal ...

先探查剑下大动脉短轴切面再将探头顺钟向转动并将探头稍前翘,可见升主动脉长轴切面,该切面类似于右心造影右前斜位投影。

The thoracoscopy operation group used femoral artery and vein cannulation to establish CPB; Right arillary minithoracotomy group used ascending aorta and right angle vena cava cannulation to establish CPB; Median sternotomy group used regular cannulation to establish CPB.

59例房间隔缺损患者分别采用:胸壁打孔全胸腔镜(15例)、右腋下小切口(19例)及胸骨正中切口(25例)三种术式完成,胸腔镜组采用股动、静脉插管建立CPB;右液下小切口采用升主动脉、直角腔静脉插管建立CPB;正中切口采取常规插管方法建立CPB。

METHODS: The rats in the two groups were anaesthetized by intraperitoneal injection of 10 g/L urethane (1 g/kg) and the chest was opened to insert a tube into the ascending aorta for perfusion with 200 mL of the mixture containing glutaric dialdehyde and paraformaldehyde for fixation.

两组大鼠给予质量浓度为10 g/L的乌拉坦1 g/kg腹腔内注射,麻醉后开胸,升主动脉插管,戊二醛与多聚甲醛混合固定液200 mL灌流固定,取嗅球,振荡切片,锇酸后固定,平板包埋,光镜下选取嗅球各层,制备超薄切片,透射电镜下对比观察。

Results The cases included seven heart break by myocardial infarction of coronary atherosclerosis, five blood vessel rupture by dissection of ascending aorta, three hemopericardium after operation for congenital heart disease, and one hemopericardium by heart non-Hodgkin's lymphoma.

结果 冠状动脉粥样硬化性心肌梗死致心脏破裂7例,升主动脉夹层继发血管破裂5例,先天性心脏病手术后心包积血3例,心脏原发性非何杰金淋巴瘤继发心包积血1例。

Results Univariate analysis demonstrated a significant association between early postoperative death and the following variables: weight at the time of surgery,age for cyanosis to be present,SaO2,AO/MPA,McGoon ratio,Nakata index,Qp/Qs,/Qs,multiple aortopulmonary collateral arteries and transannular patching.

结果 单因素分析结果显示与术后早期死亡有关的指标包括:手术时体重、发生青紫年龄、动脉血氧饱和度、升主动脉与肺动脉干直径比AO/MPA 、McGoon比值、Nakata指数、肺体循环血流量之比Qp/Qs 、右向左分流量占体循环血流量比例/Qs 、体肺侧支循环和跨瓣补片。

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