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[先天性心脏缺陷手术中低温的适应症及其应用结果]

[Indications for hypothermia in the surgery of congenital heart defects and the results of its use].

作者信息

Korolev B A, Okhotin I K, Korolev A B, Belousov Iu V, Strat'ev B A

出版信息

Vestn Khir Im I I Grek. 1978 Jun;120(6):11-5.

PMID:675967
Abstract

The authors operated 1056 patients on "dry" heart under the conditions of hypothermia. The total lethality constituted 4.5%. Since 1970 they have been applying craniocerebral hypothermia method using the apparatus "Kholod-2F". Secondary failures of the interatrial septum and valve stenosis of the pulmonary artery in patients aged from 18 to 20 are the most common indications for operation. 450 and 248 patients, respectively, were operated upon; lethality was 3.7% and 4%. The 16 years' experience with the superficial hypothermia in the correction of congenital heart diseases has proved this method to be highly effective and economical one, allowing to obtain quite favourable results after a thorough preoperative diagnosis and strict selection of patients.

摘要

作者在低温条件下对1056例患者进行了“无血”心脏手术。总死亡率为4.5%。自1970年以来,他们一直使用“Kholod - 2F”设备应用颅脑低温方法。18至20岁患者的房间隔继发性缺损和肺动脉瓣狭窄是最常见的手术指征。分别对450例和248例患者进行了手术;死亡率分别为3.7%和4%。16年在先天性心脏病矫治中应用体表低温的经验证明,该方法高效且经济,经过全面的术前诊断和严格的患者选择后可取得相当不错的效果。

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