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全腔镜下经二尖瓣改良扩大Morrow术同期行二尖瓣成形术1例 被引量:7
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作者 马介旭 郭惠明 +12 位作者 刘健 唐亚捷 袁海云 张煜源 陈钊 魏培坚 曹忠明 朱卫中 谢斌 黄焕雷 陈寄梅 庄建 《岭南心血管病杂志》 2019年第6期709-712,共4页
肥厚型梗阻性心肌病(hypertrophic obstructive cardio⁃myopathy,HOCM)是肥厚型心肌病的重要类型之一,约2/3患者可出现收缩期左心室流出道的动态的梗阻,是导致心力衰竭及心源性猝死的危险因素[1]。对于药物治疗后症状无法缓解的患者,行... 肥厚型梗阻性心肌病(hypertrophic obstructive cardio⁃myopathy,HOCM)是肥厚型心肌病的重要类型之一,约2/3患者可出现收缩期左心室流出道的动态的梗阻,是导致心力衰竭及心源性猝死的危险因素[1]。对于药物治疗后症状无法缓解的患者,行室间隔肥厚心肌切除术(Morrow Procedure)以减轻左心室流出道梗阻是目前首选的治疗方案[2]。传统的经主动脉入路安全并有效,在数十年来已得到充分验证。同时,随着创伤最小化的趋势,微创手术已在国外少数医疗中心进行,并逐渐取代传统的经正中开胸的Morrow术式。 展开更多
关键词 肥厚型梗阻性心肌病 全胸腔镜心脏手术 扩大心肌切除 二尖瓣反流 二尖瓣成形术
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单独心房颤动综合治疗的单中心经验与入路演变 被引量:2
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作者 卿洪琨 刘健 +8 位作者 谢斌 张煜源 薛玉梅 詹贤章 咸宏 吴书林 郭惠明 《中国胸心血管外科临床杂志》 CAS CSCD 2018年第10期849-854,共6页
目的探讨单独心房颤动综合治疗的临床经验、手术入路的演变及各种术式的优劣。方法回顾性分析2015年1月至2017年5月于本中心行单独心房颤动外科消融手术69例患者的临床资料,其中男50例、女19例,平均年龄57.2岁。根据手术入路将患者分为3... 目的探讨单独心房颤动综合治疗的临床经验、手术入路的演变及各种术式的优劣。方法回顾性分析2015年1月至2017年5月于本中心行单独心房颤动外科消融手术69例患者的临床资料,其中男50例、女19例,平均年龄57.2岁。根据手术入路将患者分为3组:正中开胸组9例,左后外侧腔镜组7例,双前外侧腔镜组53例。3组分别有1例(11.1%)、3例(42.9%)和26例(49.1%)于外科消融术后行导管标测和补充射频消融。结果开胸组平均随访10.2个月,随访中9例(100.0%)维持窦性心律;左后外侧腔镜组平均随访7.4个月,5例(71.4%)维持窦性心律;双前外侧腔镜组平均随访5.0个月,47例(88.7%)维持窦性心律。全组无围术期死亡,随访期间无死亡、卒中、大出血和肺静脉狭窄等。结论经典迷宫Ⅳ手术成功率高,是治疗心房颤动的基础术式,而新式迷你迷宫手术有微创、可重复性强等优点,联合导管射频消融可取得与经典迷宫Ⅳ手术相近的治疗效果。单独心房颤动综合治疗是非阵发性心房颤动治疗的最佳方案。 展开更多
关键词 心房颤动 单独心房颤动消融手术 迷你迷宫手术 复合手术
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微创二尖瓣外科手术的发展 被引量:1
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作者 郭惠明 《实用医院临床杂志》 2016年第1期5-7,共3页
微创是心脏外科的发展方向,二尖瓣手术的入路和术式是变化最多的手术之一,应用特制手术器械和腔镜辅助或机器人开展微创手术可以达到传统手术的效果。微创二尖瓣手术具有创伤小、出血少、体力恢复快和美容等优点。
关键词 微创 二尖瓣 心脏外科手术
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Application of clinical pathway combined with drawing method in clinical teaching of cardiac surgery nursing
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作者 徐晓凤 程云清 +2 位作者 辛顺华 蓝雪英 《South China Journal of Cardiology》 CAS 2018年第3期176-181,共6页
Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages: boring methods, lack of live Demo and unstandardized contents... Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages: boring methods, lack of live Demo and unstandardized contents. Therefore, a novel method is urgently in need. Methods In this study, a total of 74 nursing interns rotating in Cardiac Surgery ward of Large Vessel, Cardiac Surgery Department, were included. Of them, 37 included from July 2016 to March 2017 were distributed to the control group trained by the traditional method; while the rest 37 included from July 2017 to March 2018 were distributed to the study group receiving a novel teaching method characteristic of using clinical pathway and drawing. Baseline characteristics such as gender, age, graduation school were matched. Both groups had an internship for 4 weeks and each subject was taught by experienced instructors like nurse practitioner or nurse-in-charge. Comprehensive assessment,including growth assessment of specialty knowledge and examinations of both theory and operation,were applied both in the beginning and by the end of the internship. Results In the growth assessment of specialty knowledge, the study group performed significantly better than the control group in both total score and sub-section score(specialty pharmacy and specialty operation). In the final examination, the study group had a higher score in specialty operation than the control group, which was statistically significant. Conclusions Application of clinical pathway combined with drawing method significantly improves the quality of cardiac surgery nursing teaching. 展开更多
关键词 clinical pathway DRAWING nursing teaching
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