主动脉窦瘤破裂外科治疗21例  被引量：3

rgical treatment of aortic sinus aneurysms rupture(A report of 21 cases)</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=10676094' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('JAL25CUrGSuNMqam+hThjZEqNoKyD+NHfWaZdPNo9d8=')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="JAL25CUrGSuNMqam+hThjZEqNoKyD+NHfWaZdPNo9d8="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000003665357' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%8f%b2%e5%90%91%e5%89%8d%5d' title='史向前[1]'>史向前[1]</a> <a href='/writer/article.aspx?id=100000007213980' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%88%98%e5%ad%a6%e5%88%9a%5d' title='刘学刚[1]'>刘学刚[1]</a> <a href='/writer/article.aspx?id=100000010012685' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%94%90%e9%9c%87%5d' title='唐震[1]'>唐震[1]</a> <a href='/writer/article.aspx?id=100000013052867' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e7%8e%8b%e7%a5%96%e4%b9%89%5d' title='王祖义[1]'>王祖义[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=74289&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e8%9a%8c%e5%9f%a0%e5%8c%bb%e5%ad%a6%e9%99%a2%e9%99%84%e5%b1%9e%e5%8c%bb%e9%99%a2%e8%83%b8%e5%bf%83%e5%a4%96%e7%a7%91' title='[1]蚌埠医学院附属医院胸心外科,安徽蚌埠233004'>[1]蚌埠医学院附属医院胸心外科,安徽蚌埠233004</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=86276X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e8%a7%a3%e5%89%96%e4%b8%8e%e4%b8%b4%e5%ba%8a%5d' title='解剖与临床'>《解剖与临床》</a>2004年第3期164-165,共2页<em>Anatomy and Clinics</em></p><p class='abstrack'><strong>摘　　要：</strong>目的:探讨先天性心脏病主动脉窦瘤破裂后手术方法和疗效.方法:回顾性分析21例主动脉窦瘤破裂病人的临床资料.全组均在全麻低温体外循环下经右室切口和/或主肺动脉横切口行修补术,并同时纠治心内合并畸形.结果:本组无手术死亡病例,术后出现肺水肿1例、心衰2例、二度房室传导阻滞1例,均治愈.随访3个月～5a,疗效优者20例,良者1例术后残留主动脉瓣关闭不全.结论:主动脉窦瘤破裂病势凶险,一旦确诊,尽早手术治疗,不要为改善心功能而延误手术时机;手术治疗远期效果满意.<em><abstract>jective: To explore the surgical monogement and the clinical outcome of congenital heart disease (Aortic Sinus Aneurysms) rupture. Methods: 21 patients treated in our hospital were reviewed. The operation of patching was performed though the cut of the right ventricle or/and pulmonary artery by using deep hypothermic CPB in all cases and the concomitant cardiac malformation was corrected at the same time. Results: There was no operative death. Postoperative pulmonary edema occurred in 1 case, heart failure in 2 cases, Ⅱ°atrioventricular block in 1 case, which were all cured later. During the follow - up of 3 months to 5 years excellent effect was achieved in 20 cases and good effect in 1 case, who developed aortic insufficiency the second time. Conclusion: Aortic sinus aneurysms rupture is very serious. Operation should be performed as soon as the diagnosis is confirmed and shouldn't be delayed just for the purpose of improving the cardiac function.The far effect of the operation is satisfactory.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=3409659' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e4%b8%bb%e5%8a%a8%e8%84%89%e7%aa%a6%e7%98%a4%e7%a0%b4%e8%a3%82%5d' title='主动脉窦瘤破裂'>主动脉窦瘤破裂</a> <a href='/zk/search.aspx?key=K%3d%5b%e5%a4%96%e7%a7%91%e6%b2%bb%e7%96%97%5d' title='外科治疗'>外科治疗</a> <a href='/zk/search.aspx?key=K%3d%5b%e6%89%8b%e6%9c%af%e6%b2%bb%e7%96%97%5d' title='手术治疗'>手术治疗</a> <a href='/zk/search.aspx?key=K%3d%5b%e7%96%97%e6%95%88%5d' title='疗效'>疗效</a> <a href='/subject/article.aspx?id=168695' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e4%bd%8e%e6%b8%a9%e4%bd%93%e5%a4%96%e5%be%aa%e7%8e%af%5d' title='低温体外循环'>低温体外循环</a> <a href='/subject/article.aspx?id=6444300' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e5%90%88%e5%b9%b6%e7%95%b8%e5%bd%a2%5d' title='合并畸形'>合并畸形</a> <a href='/subject/article.aspx?id=2199746' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e6%89%8b%e6%9c%af%e6%ad%bb%e4%ba%a1%5d' title='手术死亡'>手术死亡</a> <a href='/subject/article.aspx?id=2238501' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e6%9c%af%e5%90%8e%e6%ae%8b%e7%95%99%5d' title='术后残留'>术后残留</a> <a href='/zk/search.aspx?key=K%3d%5b%e5%85%a8%e9%ba%bb%5d' title='全麻'>全麻</a> <a href='/subject/article.aspx?id=3408957' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e4%b8%bb%e5%8a%a8%e8%84%89%e7%93%a3%e5%85%b3%e9%97%ad%e4%b8%8d%e5%85%a8%5d' title='主动脉瓣关闭不全'>主动脉瓣关闭不全</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR654.2' title='R654.2'>R654.2</a>[<a href = '/domain/article.aspx?id=496' >医药卫生—外科学</a>] 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