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目的:旨在研究本院350例经皮球囊二尖瓣成形术的远期疗效及再狭窄。 方法:采用改良的Inoue 方法。 结果:经皮球囊二尖瓣成形术即刻成功率为98.3% (344/350),术后二尖瓣面积明显增加,为(1.11±0.29)~(2.19±0.40)cm 2 。105例随访9个月~8 年6 个月,二尖瓣再狭窄率为11.4% (12/105),死亡率为2.9% (3/105),二尖瓣置换术为3.8% (4/105)。 结论:研究提示,经皮球囊二尖瓣成形术近、远期疗效均很好。 相似文献
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经皮二尖瓣球囊成形术620例疗效分析 总被引:2,自引:0,他引:2
曾知恒 《广西医科大学学报》1998,15(4):31-33
评价经皮二尖瓣球囊成形术治疗风湿性二尖瓣狭窄的疗效。方法比较620例风湿性二尖瓣狭窄患者PBM前后超声心动图和血流心动学参 变化。结果PBM成功率为96.5%,PBMV后二尖瓣口面积从(1.0±0.3)cm^2,增(1.8±0.5)cm^2 相似文献
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经皮球囊导管二尖瓣分离术(PBMC)治疗风湿性二尖瓣狭窄10例,其中男3例,女7例,平均年龄38.5岁(24~63岁),均用单球囊法,9例成功(90%)。术后血液动力学及二维超声心动图均有明显改善,平均左房压由2.411±0.807kPa降到0.715±0.296kPa(P<0.001).左房内径降到37±3.13mm(P<0.02),二尖瓣口面积由1.3±0.35cm2增大到2.16±0.39cm2(P<0.02),无1例死亡。本文讨论了PBMC近期及远期治疗效果、手术操作及主要并发症。 相似文献
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经皮球囊二尖瓣成形术(PBMV)50例,均采用球囊直径递增法,成功率100%,术后左房平均压由(2.72±0.73)kPa降至(1.4±0.38)kPa,(P<0.01);跨瓣压差由(2.46±0.97)kPa降至(0.87±0.25)kPa,(P<0.01);左房内径由(42.9±5.46)mm,降至(37.82±5.54)mm(P<0.01);二尖瓣口面积由(1.42±0.34)cm2增至(1.98±0.30)cm2,(P<0.01)。二尖瓣返流系影响PBMV效果的重要因素,术前经充分的准备和病例选择,术中采用球囊直径递增法可避免二尖瓣返流的发生,提高PBMV的疗效。 相似文献
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报告21例经皮球囊二次瓣成形术(PBMV)全部成功,二尖瓣口面积自术前1.11±0.12增至术后2.63±0.32cm^2(P〈0.001)左心房平均压自3.15±1.28降至1.21±0.56kPa(P〈0.001),二尖压力阶差自2.28±0.90降为0.72±0.63kPa(P〈0.001),肺动脉平均压自3.97±1.35降为2.19±0.71kPa(P〈0.001),随访2周至12个月显 相似文献
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二尖瓣闭式分离术后再狭窄的经皮球囊成形术疗效观察 总被引:1,自引:0,他引:1
目的:研究闭式分离术后再狭窄患者经皮二尖瓣球囊成形术(PBMV)治疗近期和远期疗效及其影响因素。 方法:对经PBMV治疗的二尖瓣闭式分离术后再狭窄患者33 例与无外科手术史的二尖瓣狭窄患者(313 例)进行比较,并随访观察。 结果:PBMV治疗后临床症状明显改善,二尖瓣外科术后再狭窄患者瓣口面积(MVA)由(1.03±0.28)cm 2 增至(1.94±0.27)cm 2 (P< 0.001),原发性二尖瓣狭窄者瓣口面积由(1.12±0.45)cm 2 增至(2.22±0.26)cm 2 (P< 0.001),血流动力学两组无显著差异。其中19例随访(4.3±2.1)年,MVA 为(1.81±0.27)cm 2(与术前比较,P< 0.001,与术后即刻比较,P> 0.05),发生再狭窄3例,已成功行第二次PBMV。 结论:PBMV治疗闭式分离术后再狭窄近期、远期疗效显著,具有创伤小、安全、有效、可重复性的特点,可避免或推迟外科手术。 相似文献
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本文对17例经皮穿刺二类瓣球囊成形术(PBMV)治疗二尖瓣式分离术后再狭窄者作了长期随诊观察。随谬时间15-54个月(平均31.6±14.6月)。术前,术后及胡记时二尖瓣瓣口面积分别为1.11±0.23、1.86±0.21、1.76±0.38cm^2。随访时16例心功能持续改善,3例超声心动力图检查二尖瓣口发生了再狭窄,1例心展望气短症状复发。研究结果表明,PBMV治疗二尖瓣才式分离术后再狭窄安全 相似文献
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APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES 总被引:13,自引:0,他引:13
Hong Zhao Tie-hu Ye* Zhi-yi Gong Yang Xue Zhang-gang Xue and Wen-qi HuangDepartment of Anesthesiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Department of Anesthesiology Zhongshan Hospital Fudan University Shanghai Department of Anesthesiology the First Affiliated Hospital Zhongshan University Guangzhou 《中国医学科学杂志(英文版)》2005,20(1):59-62
FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle… 相似文献
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胡金生 《中医杂志(英文版)》2008,28(1):75-78
CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month. 相似文献
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Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor. 相似文献
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Lü Ming 《中医杂志(英文版)》2008,28(1):10-12
OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen. 相似文献
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Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P<0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet. 相似文献
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Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle. 相似文献
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In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects. 相似文献
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Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea. 相似文献
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