Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the...Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space.Utilizing transesophageal or transthoracic echocardiography,the occluder was released using a monotube unit. Results All patients were occluded successfully.No patient required open surgery utilizing extracorporeal circulation.There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a minimal surgical incision is safe,less invasive,and has excellent outcomes.展开更多
Objective To investigate the risk factors for prolonged postoperative mechanical ventilation patients with atrioventricular septal defect(AVSD).Methods We retrospectively analyzed the clinical data of 76 patients with...Objective To investigate the risk factors for prolonged postoperative mechanical ventilation patients with atrioventricular septal defect(AVSD).Methods We retrospectively analyzed the clinical data of 76 patients with atrioventricular septal defect aged more than 18 years in our hospital from January 1^st 2011 to December 31^st 2017.展开更多
Background and Objective Cardiac pacing is an effective therapy in patients with bradycardia.Conventional right ventricular(RV)pacing is the source of ventricular dyssynchrony,leading to unfavorable clinical outcome.T...Background and Objective Cardiac pacing is an effective therapy in patients with bradycardia.Conventional right ventricular(RV)pacing is the source of ventricular dyssynchrony,leading to unfavorable clinical outcome.This study compared the electrocardiogram(ECG)characteristics during left bundle branch pacing(LBBP)with that during RV septal pacing(RVSP)which has been thought to be better than RV apical pacing.展开更多
文摘Objective To evaluate atrial septal defect(ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space.Utilizing transesophageal or transthoracic echocardiography,the occluder was released using a monotube unit. Results All patients were occluded successfully.No patient required open surgery utilizing extracorporeal circulation.There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a minimal surgical incision is safe,less invasive,and has excellent outcomes.
文摘Objective To investigate the risk factors for prolonged postoperative mechanical ventilation patients with atrioventricular septal defect(AVSD).Methods We retrospectively analyzed the clinical data of 76 patients with atrioventricular septal defect aged more than 18 years in our hospital from January 1^st 2011 to December 31^st 2017.
文摘Background and Objective Cardiac pacing is an effective therapy in patients with bradycardia.Conventional right ventricular(RV)pacing is the source of ventricular dyssynchrony,leading to unfavorable clinical outcome.This study compared the electrocardiogram(ECG)characteristics during left bundle branch pacing(LBBP)with that during RV septal pacing(RVSP)which has been thought to be better than RV apical pacing.
文摘目的探讨鼻后神经联合筛前神经双神经消融术治疗鼻中隔偏曲合并中-重度过敏性鼻炎(allergic rhinitis,AR)的临床价值。方法选择2024年4~12月我科鼻中隔偏曲合并中-重度持续性AR 47例,分为2组:对照组22例行鼻中隔偏曲矫正术+双下甲骨折外移术,术后使用布地奈德鼻喷雾剂控制AR症状;观察组25例在鼻中隔偏曲矫正术+双下甲骨折外移术基础上行双侧鼻后神经联合双侧筛前神经双神经消融术,术后使用布地奈德鼻喷雾剂。通过术前、术后3个月主观症状视觉模拟评分(Visual Analogue Scale,VAS)和鼻结膜炎生活质量调查问卷(Rhinoconjunctivitis Quality of Life Questionnaire,RQLQ)评分比较2组患者症状的改善情况。结果对照组手术时间(36.3±5.9)min,显著短于观察组(59.4±6.6)min(t=12.496,P=0.000)。2组术后3个月患者鼻塞、流涕、喷嚏、鼻痒等鼻部症状VAS评分和PQLQ评分均较术前明显改善(均P=0.000)。术后3个月对照组4个症状平均VAS评分(4.6±0.9)分,较术前(6.3±1.1)分显著降低(t=9.796,P=0.000),观察组术后3个月4个症状平均VAS评分1.0(0.3~4.3)分,较术前7.0(4.5~9.0)分显著降低(Z=-4.376,P=0.000)。观察组VAS评分改善率(82.4±14.2)%,显著高于对照组(26.9±11.7)%(t=14.510,P=0.000)。术后3个月对照组RQLQ评分(2.3±0.8)分,较术前(3.3±0.8)分显著降低(t=10.055,P=0.000);观察组术后RQLQ评分1.4(0.8~3.5)分,较术前3.6(1.5~6.1)分显著降低(Z=-4.373,P=0.000)。观察组RQLQ评分改善率(53.0±14.6)%,显著高于对照组(30.2±13.4)%(t=5.555,P=0.000)。结论鼻后神经联合筛前神经双神经消融术+鼻中隔偏曲矫正术+双下甲骨折外移术,较单纯鼻中隔偏曲矫正术+双下甲骨折外移术更能显著改善鼻中隔偏曲合并中-重度AR患者的鼻部症状及生活质量,但手术时间会延长。
