瓣膜置换术

目的探讨心脏瓣膜置换术前后Tei指数及心脏围手术期血清脑钠素（BNP）的变化规律及其意义。

Objective This study was to investigate the changes of Tei index before and after surgical valve replacement and the perioperative changes of serum brain natriuretic peptide ( BNP ) concentrations in patients undergoing cardiac surgery with cardiopulmonary bypass ( CPB ) and off-pump .

左房血栓脑梗塞病人行瓣膜置换术的临床研究

Cardiac Valve Replacement in Patients with Left Atrial Thrombus and Cerebral Embolism

前列腺素E1脂微球制剂对心脏瓣膜置换术围体外循环期血小板保护的研究

Preservation of LIPO-PGE_1 on Platelets During Cardiopulmonary Bypass in Cardiac Valve Replacement

羟乙基淀粉130/0.4抑制心脏瓣膜置换术病人中性粒细胞NF-κB活性

Hydroxyethyl starch 130 / 0.4 inhibiting nuclear factor kappa B activity of neutrophils in patients undergoing cardiac valve replacement with cardiopulmonary bypass

心脏瓣膜置换术患者的APACHEⅡ评分分析

Analysis of the APACHE ⅱ Score of the Patients Following Heart Valve Replacement

心脏瓣膜置换术后PTINR测定监测口服抗凝剂的研究

Research of PT INR assay during monitoring oral anticoagulants after cardiac valve replacement

结果显示：心瓣膜置换术后患者甲疑微循环在形态、流态、袢周及总积分均高于健康人，具有极显著差异（P＜0.001～0.005）。

The results showed that the heart valve replacement patients ' nailfold microcirculation , form , the total integral was extremely significantly higher than normal controls ( P < 0.001 ~ 0.005 ) .

抑肽酶对心瓣膜置换术患者围术期IL-6、IL-8释放的影响

Effect of Aprotinin on IL-6 and IL-8 in the Serum of Patients with Cardiac Valve Replacement During Perioperative Period

vWF和GMP-140检测在心脏瓣膜置换术中变化的临床研究

Clinical Significance of vWF and GMP-140 in heart Valve Replacement

体外循环对瓣膜置换术病人血细胞胰岛素受体和红细胞ATP含量的影响

Influences of cardiopulmonary bypass on insulin receptor of blood cell and erythrocyte adenosine triphosphate content in patients with cardiac valve replacement

目的探讨循环血白细胞过滤对体外循环（CPB）心脏瓣膜置换术病人炎症反应的影响。

Objective To evaluate the effects of leucocyte-depleting filtration on systemic inflammatory response in patients undergoing valve surgery .

脂微球前列腺素E1对体外循环心脏瓣膜置换术患者肺保护的初步探讨

Protective effect of lipo-prostaglandin E1 against lung injury in patients of cardiac vale replacement during cardiopulmonary bypass

方法2004年1月~12月中南大学湘雅二医院共行心脏瓣膜置换术500例，对其中123例重症心脏瓣膜置换术患者在ECC中应用超滤脱水技术。

METHODS From January to December of 2004,123 cases of severe heart valve replacement were used ultrafiltration in ECC .

心脏瓣膜置换术前后对多普勒Tei指数影响的研究

To evaluate the effects of valve dysfunction on Doppler Tei index before and after surgical valve replacement

方法用透射比浊法测定行心脏瓣膜置换术前后患者血浆中C3、C4的浓度，并进行比较。

Methods The content of C3 and C4 were detected in plasma of 18 patients with cardiopulmonary bypass by immunity transmission turbidimetry .

目的切磋1，6-二磷酸果糖（FDP）在心脏瓣膜置换术中对心肌的呵护浸染。

OBJECTIVE To evaluate protective effects of Fructose-1,6-bisphosphate ( FDP ) on myocardial structure and function during cardiac valve replacement surgery .

异氟烷预处理对心脏瓣膜置换术病人血肌红蛋白、vWF和心肌细胞显微结构的影响

Effects of isoflurane preconditioning on plasma level of myoglobin and von Willebrand factor and myocardial microstructure in patients undergoing cardiac valve replacement

结论FDP可以减轻CPB心脏手术病人的脑损伤。异丙酚对CPB心脏瓣膜置换术中肺损伤的保护作用

Conclusion Fructose-1,6-diphosphate can alleviate cerebral injury during open heart surgery under CPB . Influence of propofol on pulmonary function in patients undergoing cardiac valve replacement

心脏瓣膜置换术后患者的华法林目标INR范围略高于其他华法林适应症患者。

The target INR range for HVR patients is higher than that of those with other warfarin indications .

目的探讨血栓前体蛋白（TpP）对监测机械瓣膜置换术后血栓形成的意义。

Objective To investigate the variation and significance of thrombus precursor protein ( TpP ) in the active thrombosis after prosthetic mechanical valve replacements .

心脏瓣膜置换术围术期动脉血及冠脉血TNF-α、SOD、LPO及CK-MB的变化

Perioperative changes in tumor necrosis factor-alpha , superoxide dismutase , lipid peroxides and creatine kinase MB in arterial and coronary sinus blood in patients undergoing heart valves replacement

GIK溶液对瓣膜置换术病人红细胞膜流动性和脂质过氧化物的影响

Influence of GIK solution on the fluidity and lipid peroxides of erythrocyte membrane in patients undergoing cardiac valvular replacement

结论术前血清BNP浓度能反映心瓣膜置换术患者术前心功能状况，血清BNP浓度越高，心功能越差。

Conclusion The preoperative serum BNP concentration can reflect the preoperative cardiac function in patients undergoing cardiac valve replacement , the high BNP level indicates the poor cardiac function .

腺苷预处理对瓣膜置换术患者PMN粘附分子CD11b表达及TNF-α、IL-6的影响

Effect of Adenosine Pre-Conditioning on the Expression of CD11b on Neutrophils and the Plasma Levels of TNF - α and IL-6 in Patients Undergoing Valve Replacement During Cardiac Pulmonary Bypass

结论瓣膜置换术后早期机体存在活动性血栓形成倾向，检测TpP对指导术后抗凝有一定价值。

Conclusion In early period after prosthetic valve replacements , it is susceptible to active thrombosis . TpP can be used as a guide of anticoagulation therapy after operation .

目的应用脑电双频谱指数（BIS）监测常规经验麻醉下瓣膜置换术病人的麻醉深度（意识水平），观察BIS在伤害性刺激时的变化。

Objective : To study the degree of routine anesthesia depth in cardiac valve replacement patients monitored by bispectral index ( BIS ), and to find out the relationship between BIS and stimulus .

目的本研究应用彩色多普勒超声技术，对二尖瓣及主动脉瓣置换术前后Tei指数进行检测，旨在观察心脏瓣膜置换术前后Tei指数的变化，评价瓣膜功能不全对Tei指数的影响。

Objective : This study was designed to compare Tei index before and after surgical valve replacement to evaluate effects of valve dysfunction on Tei index .

方法心瓣膜置换术后1个月心律仍为Af的瓣膜病患者152例，电转复后随机分为两组，胺碘酮组和对照组（不用任何抗心律失常药物）；

Methods One hundred fifty two valvular disease patients with Af after cardiac valve replacement were randomized to 2 groups : Amiodarone group and control group ( without anti arrhythmic drugs ) after cardioversion .

方法86例心脏机械瓣膜置换术患者，按术后使用不同的抗凝方案分为4组。华法林1组：术后第1d开始口服华法林；

Methods Eighty-six patients with mechanical valve replacement were divided into four groups according to different anticoagulation methods , warfarin group 1 : warfarin was given from the 1st day after operation ;

用二维彩色多普勒超声图（2D－CDI）探测心瓣膜置换术（CVR）前后左肾动脉（LRA）血流动力学变化。

The left arteriorenal ( LRA ) hemodynamics changes were measured by two-dimensional color Doppler imaging ( 2D-CDI ) before and after cardiac valve replacements ( CVR ) .