摘要
作者１９８０年至１９９３年共收冶９５例心脏粘液瘤。其中男３２例，女６３例。肿瘤位于左房８８例，右房５例，左室及肺动脉各１例。手术均于体外循环下进行。术后死亡８例，出现呼吸困难１２例。稀释前血红蛋白为１１８．０２±１６．７０ｇ／Ｌ，稀释后为７２．３３±８．８２ｇ／Ｌ，，术后离开手术室时为１０５．７５±５．９１ｇ／Ｌ。心脏粘液瘤患者术前多有贫血（５６例）、肝肿大（３６例）、肾功能不全（３２例）以及心衰（６４例）和栓塞（１２例）病史。作者结合这些临床特点，对心脏粘液瘤手术体外循环预充液的配制及转流期间的管理进行了讨论。
AbstractFrom 1980 to 1993,95patients with cardial myx-oma (male 32 and female 63)were treated surgically.The myxoma located on left-atrium in 88 patients,right-atrium in 5,left-ventricle in 1,and pulmonary in1. All the operations were carried out under cardio-pulmonary bypass. After operations,12 patients haddyspnea and 8 died of pulmonary infection and heart orrespiratory failure.The hemoglobin level was 118. 02±16.7g/L, 72.33±8.82g/L, and 105. 75±5. 91g/Lrespectively for pre-dilution,post-dilution,and post-operation. The patients with cardial myxoma oftencomplicated with anemia(56 ),hepatic enlargment(36),and history of heart failure(64),and embolism(12).Comhned with clinical characteristics mentionedabove, the preparation of prime solution and the mana-gement of perfusion were discussed.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第6期331-332,共2页
Chinese Journal of Surgery
