| 用双腔静脉吻合法行心脏移植一例 |
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| 引用本文： | 臧旺福,夏求明,姚志发,陈子道,祁家驹. 用双腔静脉吻合法行心脏移植一例[J]. 中华器官移植杂志, 2000, 21(1): 55-56 |
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| 作者姓名： | 臧旺福 夏求明 姚志发 陈子道 祁家驹 |
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| 作者单位： | 哈尔滨医科大学第二临床学院心外科,150086 |
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| 基金项目： | 国家自然科学基金资助项目(39870711) |
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| 摘 要： | 目的 观察双腔静脉吻合法行心脏移植术后移植心脏的形态和功能。方法 为１例终末期慢性克山病患者施行双腔静脉吻合法心脏移植。供心的上、下腔静脉分别与受者的上、下腔静脉吻合，左房、主动脉和肺动脉的吻合同标准术式。手术吻合时间为６１ｍｉｎ，体外循环时间为１８２ｍｉｎ。结果 主动脉开放后以及地自动复跳，生命体征平稳，心电图示单一房性Ｐ波；受者现已存活近２年，生活质量良好，心功能Ⅰ组，经管管超声心动图示心房和
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| 关 键 词： | 心脏移植 心血管外科手术 双腔静脉吻合法 |
Bicaval orthotopic heart transplantation |
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| ZANG Wangfu,XIA Qiuming,YAO Zhifa,et al.. Bicaval orthotopic heart transplantation[J]. Chinese Journal of Organ Transplantation, 2000, 21(1): 55-56 |
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| Authors: | ZANG Wangfu XIA Qiuming YAO Zhifa et al. |
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| Affiliation: | ZANG Wangfu,XIA Qiuming,YAO Zhifa,et al. Department of Cardiac Surgery,The Second Affiliated Hospital of Ha'rbin Medical University,Ha'rbin 150086,China |
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| Abstract: | Objectives To investigate the therapeutic effects of bicaval orthotopic heart transplantation (BOHT). Methods BOHT was successfully performed on one patient with endstage dilated cardiomyopathy. Duration of the operation procedure for anastomasis was 61?min, and the period of the CPB was 182?min. Results As the aortic crossclamp was released, the heart begun to beat spontaneously, and had excellent biventricular contractility. The patient has been survived for 1 year until today and is now living well. Conclusions This approach is technically more simple than total orthotopic heart transplantation and preserves the anatomic and physiologic function and integrity of the right atrium, especially the conduction system. |
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| Keywords: | Heart transplantation Cardiovascular surgical procedures |
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