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[列宁格勒医师进修医学院心脏外科的当前问题与成就]

[Current problems and achievements of cardiosurgery at the Leningrad Medical Institute for Postgraduate Training of Physicians].

作者信息

Voronov A A, Bobylev N V, Kuksinskiĭ V E

出版信息

Vestn Khir Im I I Grek. 1985 Jun;134(6):22-6.

PMID:2931892
Abstract

The authors analyse the experience with the surgical treatment of about 3000 patients with different forms of cardiac pathology and general lethality in 4,1% of cases. Favorable results were obtained following operations in children of the first three years of life with the open arterial duct, in 4 to 6-year-old children with coarctation of the aorta. The authors show expediency of correction of septal defects before severe disturbances of hemodynamics could develop. The closed method of correction is indicated in non-complicated forms of mitral stenosis. Patients with complicated forms of mitral stenosis, mitral insufficiency should be operated upon under conditions of artificial blood circulation.

摘要

作者分析了约3000例不同形式心脏疾病患者的外科治疗经验,总体致死率为4.1%。对出生后前三年患有开放性动脉导管未闭的儿童、4至6岁患有主动脉缩窄的儿童进行手术后取得了良好效果。作者指出,在血流动力学出现严重紊乱之前纠正室间隔缺损是合理的。对于非复杂性二尖瓣狭窄,建议采用闭合式纠正方法。患有复杂性二尖瓣狭窄、二尖瓣关闭不全的患者应在人工血液循环的条件下进行手术。

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