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find Author "虞敏" 3 results
  • 三尖瓣置换术同期置入心外膜永久起搏器导线一例

    Release date:2016-08-30 06:16 Export PDF Favorites Scan
  • 合并慢性肾功能不全患者的冠状动脉旁路移植术

    目的 总结合并慢性肾功能不全的冠心病患者行冠状动脉旁路移植术(CABG)的临床经验。方法 1997年4月至2004年11月,对18例合并慢性肾功能不全[术前血清肌酐(Cr)129~497μmol/L(216.0±98.3μmol/L)]的冠心病患者行CABG,其中体外循环CABG和非体外循环CABG各9例。结果 术后住院死亡3例,其中大面积脑梗死、肾功能衰竭1例;肾脏和呼吸功能衰竭1例;肺部感染、呼吸功能衰竭1例。4例患者采用腹膜或血液透析。随访11例,失访4例,随访时间2~22个月(7.6±7.3个月),随访期间无明显的心绞痛发作5例,心绞痛较术前明显减轻5例,有较剧烈的胸痛发作1例。血清Cr较术前变化不明显4例(变化〈50μmol/L),较术前明显增高(Cr增高〉100μmol/L)5例。长期腹膜透析1例,脑出血1例,死亡2例(脑梗死、肺部感染);抗凝治疗发生并发症1例。结论 对合并肾功能不全的冠心病患者积极改善肾功能,通过适当的围术期处理,行CABG后的近期结果是可以接受的。

    Release date:2016-08-30 06:23 Export PDF Favorites Scan
  • Influence of Early Surgery on the Outcome of Infective Endocarditis

    ObjectiveTo study the relationship between the timing of surgery and one-year outcome in patients with infective endocarditis. MethodsWe retrospectively analyzed the clinical data of 97 patients suffered from leftside native valve infective endocarditis with neoplasm, admitted in Shanghai First People's Hospital between January 2000 and December 2011. There were 65 males and 32 females with mean age of 55.2±16.3 years (ranged 29 to 75 years). They were divided into two groups according to whether the surgery was performed within a week after diagnosis. The in-hospital mortality and one-year mortality, embolism and re-infection were calculated and compared between the two groups. ResultsThere was no significant difference in the in-hospital mortality between the early surgery group and the conventional surgery group (1.9% versus 6.7%, P=0.241). While there was a significant difference in the rate of inhospital embolism related complications (1.9% versus 13.3%, P=0.030) between the two groups. There was no significant difference in one-year mortality between the two groups (1.9% versus 8.9%, P=0.122). The incidence rate of embolism related complication was 5.8% in the early surgery group and 20.0% in the conventional surgery group with a statistical difference (P=0.034). There was one patient with recurrent cerebral infarction among the 11 patients of cerebral infarction in the early surgery group,while 6 recurrent patients in the 9 patients with cerebral infarction in the conventional surgery group (9.1% versus 66.7%, P<0.005). ConclusionsEarly surgery in patients with left-side native valve infective endocarditis can't reduce the in-hospital mortality and one-year mortality but does decrease embolic events significantly. Early surgery is feasible in the patients with cerebral infarction.

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