| 胸主动脉瘤的外科治疗 |
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| 引用本文： | 范国华,涂仲凡,黄杰,毛志福. 胸主动脉瘤的外科治疗[J]. 华中科技大学学报(医学版), 2003, 32(6): 630-631,640 |
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| 作者姓名： | 范国华 涂仲凡 黄杰 毛志福 |
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| 作者单位： | 武汉大学人民医院胸心外科,武汉,430060 |
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| 摘 要： | 目的 总结10例胸主动脉瘤的外科治疗经验。方法 在体外循环下行主动脉瓣及人造血管置换1例，Bentail手术2例，Cabrol手术1例，在左心转流下行降主动脉瘤切除 人造血管移植4例；中度低温停循环主动脉／股动脉交替灌注降主动脉瘤切除2例。结果 全组10例无手术死亡及术后并发症的发生。结论 手术技术、体外循环方法和术中保护主要器官免受缺血损伤是手术成功关键所在。
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| 关 键 词： | 胸主动脉瘤 治疗 外科手术 体外循环 |
Surgical Treatment of Thoracic Aortic Aneurysm |
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| Fan Guohua,Tu Zhongfan,Huang Jie et al. Surgical Treatment of Thoracic Aortic Aneurysm[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2003, 32(6): 630-631,640 |
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| Authors: | Fan Guohua Tu Zhongfan Huang Jie et al |
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| Affiliation: | Fan Guohua,Tu Zhongfan,Huang Jie et al Department of Thoracic and Cardiovascular Surgery,Renm in Hospital of Wuhan University,Wuhan 430060 |
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| Abstract: | Objective To summarize the experience in surgical treatment of 10 patients with thoracic a ortic aneurysm. Methods One patient underwent resection of asc ending aneurysm with graft and aortic valve replacement under extracorporeal cir culation. Bentail procedure was performed in 2 cases and Cabrol procedure in 1 c ase. Four patients underwent excision with graft replacement of descending aorti c aneurysm by left atrium to distal descending aortic bypass and 2 resection of descending aneurysm with graft by aortic and femoral artery perfusion alternativ ely under moderate hypothermia with circulatory arrest. Results There was no operative dead and postoperative complicat ion in all of the 10 cases. Conclusion Surgical procedure, selection of the extracorporeal circulation methods and the prevention of main organs from ischemia-induced dam age are the key for successful operation. |
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| Keywords: | aortic aneurysm thorax extracorporeal circulation surgical treatment |
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