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心内直视术后Ⅲ度房室传导阻滞的处理

Treatment of Ⅲ Degree Atrioventricular Block Following Open heart Surgery
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摘要 1987~1998 年, 共收治541 例需心内直视术的患者, 11例出现Ⅲ度房室传导阻滞, 发生率为2.03% 。熟识心脏解剖和掌握手术技巧是预防Ⅲ度房室传导阻滞的关键。一旦发生,应安放和正确使用临时起搏器,并合理应用药物将心室率控制在60~90 m in- 1。 From 1987 to 1998, 541 patients undergoing open heart surgery were studied. Of them 11 were diagnosed having Ⅲ degree atrioventricular block (AVB) with the incidence being 2 03 %. The key to prevent Ⅲ degree AVB was to clearly know the heart anatomy and master the surgical skills. As soon as Ⅲ degree AVB occurred, it was recommended that the temporary cardiac pace maker was installed and correctly used, and the ventricular beating rate was controlled at a range of 60 to 80 beats per min.
出处 《同济医科大学学报》 CSCD 1999年第4期362-363,共2页 Acta Universitatis Medicinae Tongji
关键词 心内直视术 房室传导阻滞 术后 处理 open heart surgery \ Ⅲ degree atrioventricular block
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参考文献2

  • 1Lin C C,An Thorac Surg,1998年,65卷,165页
  • 2朱晓东,心脏外科指南,1990年,374页

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