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METHODS:the anatomic configurations and hemodynamics of 38 cases on cine-MRI were analysed,including ascending aortic aneurism(10 cases),aortic dissection(21 cases),pericardial hematoma(1 case),hypertrophic cardiomyopathy(3 cases),ASD(1 case),combined ASD and VSD(1 case).

分析 38例心血管疾病的 cine-MRI解剖结构和血流动力学改变,其中升主动脉瘤 10例,夹层动脉瘤 2 1例,心包血肿 1例,肥厚型心肌病 3例,房间隔缺损 2例,ASD并发室间隔缺损 1例。

This book in all 126 chapters, content involves cardiovascular disease foundation, not have achieve video learn, disease of valve of physiological, heart, aorta mixes report outside element of risk of week blood-vessel disease, coronary artery disease, cardiac muscle straightens dead, disease of heart and pericardium and pulmonary circulation disease, cardiac muscle and heart failure,, include 1400 plans, among them 483 are chromophotograph, kinetic draw writes down the radiative a collection of illustrative plates that covers electric physiology draw to write down image of graph, angiography, heart to be short of caustic and blood stream the graph.

该书共126章,内容涉及心血管疾病基础、无创影像学、电生理学、心脏瓣膜病、主动脉和外周血管疾病、冠状动脉疾病危险因素、心肌梗死、心脏和心包以及肺循环疾病、心肌病和心力衰竭、心脏药理学、有创及介入心脏病学等11个部分,包括1400幅图,其中483幅为彩色照片,涵盖电生理描记图、血管造影图像、心脏缺损的放射图谱以及血流动力学描记图等。

Among them, 20 patients were candidates of valve replacement and 18 PDA and pericarditis had their blood samples taken before operation,and 1,2,24 and 48 hours after closure of thorax for measurement of concentrations of CK、CK-MB and TnT,together with ECG recording. Results Of the 60 patients, concentrations of cTnT before operation were normal; 2 hours after aortic unclamping, the correlation coefficient between cTnT and aortic clamping was r = 0.873( P<0.01), the regression analysis showed Y = 0. 019X-0. 026. Of the 20 patients, ECG showed the myocardium was ischemic; CK、CK-MB and cTnT all rose significantly, reaching the peak after closure of thorax. Of the 18 patients, the ECG and cTnT before operation and after closure of thorax were normal; except 2 patients with pericarditis.

结果 60例瓣膜手术患者术前cTnT均在正常值范围内,主动脉开放后2 h时,阻断时间和cTnT的相关系数为r=0.875(P<0.01),回归方程为Y=0.019X-0.026;其中20例瓣膜手术患者心脏经过阻断后,心电图有缺血性改变,周围血液中的CK、CK-MB和cTnT均有明显升高,分别在关胸后2 h达到高峰,数值分别为术前的12.6、9.2和257倍;18例行动脉导管结扎和心包剥脱术的患者术前和关胸后的心电图和血液中的cTnT均正常,CK和CK-MB除2例心包炎患者关胸后出现明显变化外,余均未见改变。

Aim: To analyse the effcct of surgical treatment for constrictive pericarditis retrospectively.

目的:对外科手术治疗缩窄性心包炎的效果进行回顾性分析。

Objective Through finding and analising 470 cases of Malignant cell of pleural effusion,ascites and pericardial effusion in 2 240 cases from January,2002 to December,2003,to discuss the cytomorphological diagnostic value of routine dropsyexamination on the basis of cytomorphological analyses.

目的:收集2002年1月至2003年12月2 240例胸腹心包腔积液中查见470例恶性细胞分析,探讨积液常规检查的细胞形态学诊断价值。

Cellulose effusion can be found from epicardium to pericardium, it is typical fibrinous pericarditis

从心外膜表面直到心包可见细小的纤维素性渗出物的沉积物,这是纤维素性心包炎的典型表现

Serous pericarditis is marked by fluid collection.

在较为严重的心包炎时心包腔内积聚的液体成分较多。

Objective To explore the surgical procedure,postoperative respiration,blood gas analysis and heart function changes relevant to intrapericardial total pneumonectomy.Methods To review and analyze the clinical data of 42 cases of the intrapericardial total pneumonectomy.

目的 探讨经心包内处理肺血管全肺切除术的手术操作、术后呼吸、血气及心功能的变化方法回顾性分析42例经心包内全肺切除术患者的临床资料。

Objective To discuss the indication and op erating technique of intrapericardial pneumonectomy,the repair of pericardial d efect,prevention of cardiac herniation and the postoperative arrhythmia.

目的 探讨心包内全肺切除术的适应证,手术技术,心包缺损修补和心脏疝预防,术后心律失常的处理等问题。

They underwent different surgical approach of fight ventricular outflow tract construction according to preoperation condition, 15 cases underwent staged radical repair in which transannular patching with homovariant pericardial flake.

一期根治术组32例,大部分病例采用自体心包片跨瓣环水平扩大右室流出道至肺总动脉,其中4例带心包单瓣,合并主肺动脉侧支的11例中有2例完成肺动脉血管的单元化手术。

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