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心内膜导线相关的三尖瓣返流 被引量：3

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摘要 心内膜导线相关的三尖瓣返流的发生率为11%-39%。 其发生机制第一,导线的机械作用：包括淤导线嵌顿于瓣叶之前;于导线与瓣叶粘连;盂导线与腱索缠结;榆瓣叶穿孔或撕裂;虞瓣环扩张;第二,右室心尖部起搏改变了心脏的收缩顺序。 轻中度三尖瓣返流多无明显症状,重度返流常表现为右心衰竭。 治疗有针对症状的药物治疗,以及病因的导线拔除,外科瓣膜成形与置换。
作者 郑晓琳 张澍 陈柯萍
机构地区 中国医学科学院 北京协和医学院 国家心血管病中心 阜外心血管病医院心律失常中心
出处 《中国心脏起搏与心电生理杂志》 2014年第5期443-445,共3页 Chinese Journal of Cardiac Pacing and Electrophysiology
关键词 心血管病学 心内膜导线 综述 三尖瓣返流
分类号 R318.11 [医药卫生—生物医学工程]
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参考文献21

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二级参考文献29

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共引文献20

同被引文献29

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二级引证文献22

中国心脏起搏与心电生理杂志
2014年 第5期

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