单向活瓣及肺动脉注入前列腺素E1(PGE1)治疗室缺合并肺动脉高压

R5; 目的探讨基层医院室缺合并重度肺动脉高压(PH)的外科治疗方法.方法 41例室缺合并肺动脉高压患者采用单向活瓣补片修补室间隔缺损,同时肺动脉内留置导管泵入前列腺素E1(PGE1);术后超声心动图动态监测分流情况,并比较术前术后肺动脉压(PAP)及血气分析指标变化.结果 41例患者无1例死亡,术后2个月内单向活瓣关闭、分流消失;术后PAP明显下降,血气分析指标明显改善.结论单向活瓣补片及肺动脉置管泵入前列腺素E1(PGE1)能有效提高基层医院室缺合并肺动脉高压的治疗效果,增加围手术期安全性....

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Veröffentlicht in:	现代医院 2010, Vol.10 (7), p.6-8
Hauptverfasser:	廖成全, 姜月平, 陈翀, 万仁平
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container_title	现代医院
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creator	廖成全姜月平陈翀万仁平
description	R5; 目的探讨基层医院室缺合并重度肺动脉高压(PH)的外科治疗方法.方法 41例室缺合并肺动脉高压患者采用单向活瓣补片修补室间隔缺损,同时肺动脉内留置导管泵入前列腺素E1(PGE1);术后超声心动图动态监测分流情况,并比较术前术后肺动脉压(PAP)及血气分析指标变化.结果 41例患者无1例死亡,术后2个月内单向活瓣关闭、分流消失;术后PAP明显下降,血气分析指标明显改善.结论单向活瓣补片及肺动脉置管泵入前列腺素E1(PGE1)能有效提高基层医院室缺合并肺动脉高压的治疗效果,增加围手术期安全性.
doi_str_mv	10.3969/j.issn.1671-332X.2010.07.003
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title	单向活瓣及肺动脉注入前列腺素E1(PGE1)治疗室缺合并肺动脉高压
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