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[成人主动脉缩窄的外科治疗]

[Surgical treatment of aortic coarctation in adults].

作者信息

Korolev B A, Okhotin I K, Solov'ev S I, Korolev A B, Rybinskiĭ A D

出版信息

Vestn Khir Im I I Grek. 1976 Feb;116(2):3-6.

PMID:960465
Abstract

During a 18-year period the authors operated 305 patients with aortic coarctation, the mortality being 2.2%. Sixty three patients (20.6%) aged from 20 to 40 years were operated upon with the mortality in 7.9%. A direct anastomosis of the aorta was constructed in 31 patients, alloprosthesis of the aorta was employed in 23 cases, indirect isthmoplasty--in 8 cases, in one case an aortic prosthesis was replaced. The most frequent intra- and postoperative complication was intrapleural hemorrhage. In estimating the efficacy of surgery within the terms up to 14 years the best results were obtained after an end-to-end anastomosis.

摘要

在18年期间,作者为305例主动脉缩窄患者实施了手术,死亡率为2.2%。63例年龄在20至40岁之间的患者(占20.6%)接受了手术,死亡率为7.9%。31例患者进行了主动脉直接吻合术,23例采用了主动脉异体假体,8例采用了间接峡部成形术,1例更换了主动脉假体。最常见的术中及术后并发症是胸腔内出血。在评估长达14年的手术疗效时,端到端吻合术后取得了最佳结果。

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