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[人工心脏与心脏移植联合应用的现状]

[Current status of use of the artificial heart in combination with heart transplantation].

作者信息

Rokitansky A, Wolner E

机构信息

II. Chirurgischen Universitätsklinik, Allgemeinen Krankenhauses Wien.

出版信息

Zentralbl Chir. 1988;113(16):1013-23.

PMID:3055751
Abstract

Acute and therapeutically uncontrollable cardiac insufficiency in a case of chronic heart disease with acute risk of rejection and with a record of previous transplantation or during a heart operation should be considered as an indication for implantation of an artificial heart or a ventricle-supporting system, if a donor heart is not available. Two results are expected from such an approach, restoration of adequate circulation and improvement of organ functionally providing a chance for later transplantation. Attention should be given, according to the authors' own experience, to effective surgical haemostasis. Infections have quite often proved to be incurable after implantation of an artificial heart and, consequently, provide a clear-cut contraindication to implantation.

摘要

在患有慢性心脏病且有急性排斥反应风险、有既往移植史或在心脏手术期间出现急性且治疗上无法控制的心脏功能不全的情况下,如果没有供体心脏,应考虑将植入人工心脏或心室支持系统作为一种治疗手段。这种方法预期会产生两个结果,即恢复足够的循环以及改善器官功能,为后续移植提供机会。根据作者自身经验,应注意有效的手术止血。人工心脏植入后感染往往难以治愈,因此是植入的明确禁忌证。

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