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find Author "宋光民" 3 results
  • Development of Physiologic Fixation Method on Porcine Aortic Root and Aortic Valve Leaflets

    Objective To study the development of a physiologic fixation method and investigate the effect of physiologic fixation method on porcine aortic root and aortic valve leaflets. Methods Physiological fixer of aortic root was manufactured in a factory. The fixers with different diameter were made of organic glass. Porcine aortic root with ascending aorta and anterior leaflet of mitral valve and partial ventricular septum were dissected out from the fresh heart. The roots were attached to appropriately sized inflow and outflow spigots. Physiologic fixation was utilized to maintain aortic root and leaflets natural anatomical shape, the aortic root was pressurized to the inflow and outflow portions simultaneously, and the leaflets floated freely at zero-pressure differential with in the pressurized root. Results The process of physiologic fixation retained the properties of a native valve. The leaflets were much softer and extensible than those from valves fixed under low pressure. The results of pulsatile flow testing indicated that the effective orifice areas of predilation at 80mmHg were significantly greater than those of predilation at 40 mmHg(P〈0.05), while mean pressure differences were found to be lower comparatively(P〈0.05). This difference translates into a mode of valve function that more closely approximates that of the native aortic valve. Conclusion Physiologic fixation process retains the valve's natural anatomical shape as well as the underlying structure of the leaflets, providing improved flow characteristics.

    Release date:2016-08-30 06:23 Export PDF Favorites Scan
  • 套管法与缝合法行大鼠异位心脏移植术的比较

    目的分别采用缝合法和套管法制作大鼠异位心脏移植模型,以便为器官移植的研究提供理想的手术方式. 方法 SD大鼠为受者,Wistar大鼠为供者.套管法是将供者的无名动脉和肺动脉分别与受者的颈总动脉和颈外静脉行套管连接.缝合法是将供者的升主动脉和肺动脉分别与受者的腹主动脉和下腔静脉吻合. 结果套管法手术180次,手术成功率高于96%;缝合法手术20次,手术成功率小于40%. 结论套管法心脏移植术操作简单,热缺血时间短,并发症少,手术成功率明显提高.

    Release date:2016-08-30 06:34 Export PDF Favorites Scan
  • 供者脾细胞和环磷酰胺联合预处理对移植心脏存活的作用

    目的 诱导同种异体心脏移植的免疫耐受,为心脏移植的抗排斥反应治疗提供依据.方法 采用供者脾细胞和环磷酰胺联合预处理受者,诱导受者对移植心脏的免疫耐受,然后行大鼠颈部心脏移植术.将实验动物分成5组.对照组:受者不作任何预处理;组1:预处理第2天用环磷酰胺50~80mg/kg预处理受者;组2:预处理当天用供者5~10×107个脾细胞预处理受者;组3:受者不作任何预处理,手术当天开始用环孢菌素A 10mg/kg,每2天1次,共8~10次,腹腔内注入;组4:预处理当天用供者脾细胞5~10×107个和第2天环磷酰胺50~80mg/kg联合预处理受者.结果 各组移植心脏的存活时间明显不同,5组移植心脏的存活时间差异有显著性(Plt;0.01).供者脾细胞和环磷酰胺预处理受者的移植心脏存活时间明显延长.结论 供者脾细胞和环磷酰胺联合预处理,可诱导受者对移植心脏的免疫耐受.

    Release date:2016-08-30 06:35 Export PDF Favorites Scan
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