激光心肌血运重建术围手术期及早期临床观察  

TRANSMYOCARDIAL LASER REVASCULARIZATION-A PERIOPERATIVE AND EARLY CLINICAL ANALYSIS

作　　者：张仁尧[1] 杨泽泉[1] 胡秉忠[1] 吴栋[1] 张明礼[1] 陈鸿义[1] 

机构地区：[1]北京医科大学第一医院胸心外科,100034

出　　处：《北京医科大学学报》1997年第5期440-442,共3页Journal of Peking University(Health Sciences)

摘　　要：目的：观察激光心肌血运重建术围手术期及早期临床疗效。方法：4例病人，左前外侧开胸，用国产CO2激光器在左心室前、侧、后壁上，打出15～30个小孔，以改善缺血心肌的血供。结果：3例病人心绞痛和心功能明显改善。1例病人改善不理想，与原有疾病（二尖瓣及主动脉瓣关闭不全，心功能不全，持续性低血压）有关。结论：激光心肌血运重建术对晚期冠心病是一种新的治疗手段，它能改善心肌供血，缓解心绞痛，改善心功能。Objective: To observe perioperative and early clinical effects of transmyocardial laser revascularization (TMLR). Methods: To operate on the chest, make 15 ~ 30 channels on the antierior,lateral, latter of left ventrical wall with CO2 laser(homemade machine). Results: Angina pectoris was reduced and cardiac function was evidently improved after operation in 3 cases, but such improvements mentioned above was not significant in one case because of mitral, aortic valvular roprgitation, hypotension, low cardiac output. Conclusion: TMLR is a new therapeutic method for advanced coronary disease. It could reduce the symptom of angina pectoris and improve the blood perfusion of the previous ischemic myocardia.

关 键 词：心肌血管重建术 激光 治疗应用 

分 类 号：R654.2[医药卫生—外科学] R616.4[医药卫生—临床医学]