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首页> 外文期刊>Critical care nursing quarterly >Surgical approaches for atrial fibrillation.
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Surgical approaches for atrial fibrillation.

机译：房颤的外科手术方法。

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摘要

The Cox Maze procedure, a cardiac intervention that was developed by James Cox, MD, was first performed in 1988 to surgically cure atrial fibrillation. Over the years, changes in techniques of the classic maze were made, culminating in the Cox Maze III procedure, the Gold Standard. Modifications in the original procedure included simplifying the procedure to a minimally invasive approach. As a result of some of these modifications, the initial maze-like series of surgical atrial incisions has been reduced with the use of alternate energy sources that create hyperthermic lesion lines of conduction block that isolate and interrupt the abnormal impulses. The minimaze, a minimally invasive thorascopic approach, can be performed off pump, thus avoiding a median sternotomy and cardiopulmonary bypass and cardioplegic arrest intraoperatively and ensuring a shorter, less painful recovery.
机译：Cox Maze手术是由医学博士James Cox开发的一种心脏干预方法，于1988年首次用于外科手术治疗房颤。多年来，经典迷宫的技术发生了变化，最终达到了Cox Maze III程序，即黄金标准。原始过程的修改包括将过程简化为微创方法。由于这些修改中的一些，通过使用替代能源减少了最初的迷宫状外科手术心房切口系列，这些替代能源产生了传导阻滞的高温损伤线，该损伤线隔离并中断了异常脉冲。可以通过泵进行最小程度的微创胸腔镜手术，从而避免术中进行胸骨切开术和体外循环，避免心律停搏，并确保更短，更不痛苦的恢复。

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