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頁籤選單縮合
題名 | Cardiac Valve Replacement with Porcine Xenograft-Report of 2 Years Experiences=豬心瓣膜之移植(兩年之臨床經驗) |
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作者 | 洪啟仁; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19780900 |
卷期 | 11:3 1978.09[民67.09] |
頁次 | 頁217-226 |
語文 | eng |
關鍵詞 | 移植; 豬心瓣膜; |
中文摘要 | 自1976年四月到1978年三月底,二年來,在臺大醫院及國泰醫院外科已經使用過192個經Glutaraldehyde藥水處理過的豬心瓣膜於176個病人身上,其中有18人開刀後死亡,手術死亡率是10.2%,有5人是手術後一個月以上才死亡,因此總死亡率增到13.6%,其中4人是腦血管栓塞,以致血栓栓塞併發症比率是2.5%,其他153人在臨床上都很好,卽兩年生存率為96.8%,另外有7人併發細菌性心內膜炎,經抗生素治療後,完全康復的有3人,若使用人工瓣膜而發生細菌性心內膜炎的話,往往預後不良,這也是豬心瓣膜的優點之一。 免除長期服用抗血液凝固劑,使血栓栓塞併發症發生率減低,長期生存率較好以及細菌性心內膜炎發生後可能完全復原.......等等,都是豬心瓣膜優於人工瓣膜之點。 以豬心瓣膜做瓣膜移植手術的長期臨床結果已追蹤了將近8年,這種組織瓣膜的有效功能維持多久尚待時間考驗,不過我們相信,在長期服用抗血液凝固劑治療困難的病人裏,用豬心瓣膜是最佳選擇。 目前我們已經使用過Hancock廠牌和Carpentier-Edwards廠牌(6625模型用在僧帽瓣部位,2652模型用在主動脈瓣部位)歷時兩年,兩者功能同樣令人滿意。 |
英文摘要 | Pseudotumor of Bone is a rare and serious complication of Hemophilia. Its proper treatment and prognosis depend upon recognition of the complication and early diagnosis. For patients with bleeding tendency with slowly growing painless rnass, we should give Presumptive diagnosis of "Pseudotumor". Irradiation and conservative treatment may cure the early case. In an old case with large rnass or impending rupture or rupture with infection, surgery is mandatory. The first case of giant hemophilic bone pseudotumor of femoral shaft successfully treated by surgery in our country is reported. The patient had another smaller pseudotumor at the tibial shaft of the other leg successfully treated by conservative method. In this report hemophilic pseudotumor is discussed in detail and its literature is reviewed. By this report, we hope the hemophilic pseudotumor in our country will be early recognized and diagnosed, and then later complications and disability may be prevented by giving proper early treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。