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心内膜

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Bacterial endocarditis is an infection of the lining of the heart.

细菌性心内膜炎是一种心内膜的感染。

Surgical treatment is effective for infective endocarditis, which can reduce the mortality.

外科手术治疗感染性心内膜炎是一种有效的治疗措施,降低了感染性心内膜炎的病死率。

Methods:32 patients of TCPC were reviewed: the average age was 10 years,ranged from 5 to 24 years and the average weight was 28 kilogramme,ranged from 13 to 55 kilogramme.18 patients underwent lateral tunnel and 1 patient underwent extracardiac conduit TCPC with hypothermic cardiopulmonary bypass and heart arrest,and 10 patients were treated by extracardiac conduit technique with normothermic CPB and without heart arrest and 2 patients without CPB,and 1 patients underwent two-step operation.

回顾性分析32例全腔静脉肺动脉连接术患者的临床资料:年龄5~24岁,平均(10±5)岁,体重13~55 kg,平均(28±11) kg,病种包括单心室16例,右心室双出口并完全性心内膜垫缺损6例,完全性大动脉转位并完全性心内膜垫缺损3例,三尖瓣闭锁6例,二尖瓣闭锁1例。其中,在低温体外循环心脏停跳下18例行右房内侧隧道法,1例行心外管道法,常温体外循环心脏跳动下10例行心外管道法,非体外循环下2例行心外管道法,1例行分次全腔静脉肺动脉连接术。

A rate-limiting step to long-term survival in heart transplant patients is coronary arteriopathy, which is marked intimal proliferation with lumenal narrowing of the small epicardial and intramyocardial coronary artery branches, leading to ischemic changes.

限制心脏移植的患者长期存活的关键步骤是冠状动脉病,心外膜和心内膜的冠状动脉的小分支动脉内膜增殖,管腔狭窄而导致心肌缺血性的改变。

Application of cardiotomy suction relief valve reduces the negative pressure of cardiotomy suction, consequently prevents endocardium and red blood cell from hematoclasis and endocardium damage.

心内吸引减压阀可减小体外循环心内吸引管内的负压,减轻红细胞破坏和心内膜伤害,有保护心内膜以及红细胞的作用。

Here, vegetations can be seen on the endocardial surfaces, and the infection is extending into to underlying myocardium.

此例我们可见心内膜的表面有疣状赘生物形成,感染已经蔓延至心内膜的表面。

There were no nick infection, chorioamnionitis and other complications. Eight/sixteen fetal lambs were undergone intro-utero cardiac intervention. The values of body weight and Hct of lambs which were executed. pre-term and full-term delived were (1.77±0.14) kg vs.(2.15±0.23) kg vs.(2.41±0.19) kg and 29%-33% vs. 27%-35% vs. 37%-41%. In autopsy, hydropericardium was found in 4/8 with 1-2.5 mL and 1/8 with 5 mL. Besides 1/8 with interventricular septum centesis injury, there was no centesis damage to endocardium, valve, chordae tendineae, papillary muscles and aortic tunica intima.

病理解剖发现施行手术的8例胎羊/新生羊胸壁穿刺点均位于左侧心前区,心脏进针部位在左室心前区近心尖部位6例,近流出道1例,近室间隔1例;4只少量心包积液(1~2.5 mL),1只心包积液5 mL,3只未发现心包积液;除1只胎羊有室间隔穿刺伤外,其余胎羊心内膜、瓣膜、腱索、乳头肌及主动内膜均未发现损伤;未发现肺、肝等胸腹腔脏器穿刺损伤;均未发现心包、胸腔感染迹象。

Methods 20 healthy volunteers and 37 patients with CAD were involved in this study. Color changes resulted from CK timing and amplitude were observed at parasternal short-axis view, apical four-chamber view and two-chamber view; The percent of regional fractional area change in 30﹪ diastolic period , namely color kinesis diastolic index, were obtained using ICK software.

观察20例正常人和37例冠心病患者胸骨旁左室乳头肌短轴观、心尖四腔、两腔观各节段心肌舒张期心内膜位移引起彩阶的变化,并运用ICK定量分析软件计算出心内膜于舒张早期30﹪时间内位移的面积占整个舒张期内膜位移面积的百分比,即心内膜位移指数。

Methods: a comprehensive analysis of 20 cases with acute left ventricular failure as the first manifestations of acute subendocardial myocardial infarction patients with a history of 20 cases and clinical characteristics, according to ECG, dynamic changes of enzymes, Killip classification of cardiac function and cardiac color report indicators of cardiac function, acute acute subendocardial myocardial infarction with acute left heart failure occurred in the characteristics and causes.

综合分析20例以急性左心衰竭为首发表现的急性心内膜下心肌梗死20例病人的病史和临床特点,根据心电图、心肌酶的动态变化、 Killip 心功能分级和心脏彩超报告的心功能指标,探讨急性急性心内膜下心肌梗死发生急性左心衰竭的特征和原因。

Results Right heart infected endocarditis were always superimposed on patients with congenital heart disease or drug addicts. Pulmonary embolisms were the most distinct characteristics in this patients. Echocardiography had a important role on diagnosis of right endocarditis.

结果 右心感染性心内膜炎主要发生于先天性心脏病,其次为静脉药瘾者;其突出临床特点为肺栓塞;超声心动图对诊断右心感染性心内膜炎有重要价值。

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这不是纸上谈兵式的交易,这是人与人的业务,而且涉及金额巨大。