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The fibrin often results in the the finding on physical examination of a "friction rub" as the strands of fibrin on epicardium and pericardium rub against each other.

听诊时出现心包摩擦音,这是因为沉积在心外膜和心包的纤维素相互摩擦所致。

Objective:To find a good protocol of decellularization and dye-mediated photooxidation in bovine pericardium,evaluation the feasibility as a new biomaterial substitution in cardiac surgery.

目的:研究比较理想的去细胞结合光氧化法处理牛心包的方案,初步探讨其作为心血管生物组织替代材料的可行性。

Trypsin is the most effective in four kinds of enzymes for degradation.

四种酶降解实验比较显示,胰酶对心包的催化降解力最大。

The concept of trauma of heart and great vessles; the etiopathogenisis, pathology, clinical manifestations of hemopericardium, the significance, diagnosis and emergency treatment of Beck triad.

心脏及大血管损伤的概念,血心包的病因,病理及临床表现,Beck三征的意义,诊断及急救处理。

Note the dark red blood clot forming the hemopericardium. The hemopericardium can lead to tamponade.

心包腔内有暗红色的凝血块形成,称心包积血,心包积血可致心包压塞。

It is possible and safe to drain a lot of hydropericardium by pericardiocentesis and indwelling catheter.

心包穿刺留置导管引流心包积液安全可行,操作简便,置管可靠,可迅速消除心包填塞症状,能及时彻底引流心包积液,疗效明显,无不良反应及损伤,降低了缩窄性心包炎的发生率,值得临床推广。

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。

Compared to the patch dealt with glutaraldehyde, the autologous pericardial patch treated by distilled water is living, and calcification is not easily to happen. At the same time, after treated by distilled water, pericardial patch is incrassated mildly, and can be handled easier than fresh pericardium. The early-moderate team results of reconstruction of RVOT using autologous pericardial monocusp patch treated by distilled water are satisfactory.

使用蒸馏水处理自体新鲜心包组织,可以使心包组织轻度水肿增厚,相对不易皱缩卷曲,既摒弃了新鲜心包组织使手术操作不易进行的缺点,又保持了新鲜心包组织具有活性、生物相容性好、相对不易钙化的优点,避免了蛋白交联剂处理后的心包组织生物相容性差,易于发生钙化的缺点,简便易行,效果显著。

Objective Pericardiocentesis and drainage are the common measures for the treatment of cardiac temponade and massive pericardial effusion.

目的 持续性心包穿刺引流是治疗大量心包积液和心包填塞的常用方法,本文旨在探讨心包穿刺引流的合并症。

If pericardial tamponade is diagnosed, pericardiocentesis before surgery can be harmful because it may counteract hypotonic haemostasis and eventually cause more pericardial bleeding and intractable tamponade.16

一旦心包填塞确诊,在手术前进行心包穿刺术反而有害无益,因为减压可能减少压迫的止血作用,导致更严重心包出血及心包填塞。

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