Open heart surgery in a paraplegic patient.

Shimada Y; Kawata M; Iwasaki Y; Itoh H; Kawachi H

首页> 外文期刊>Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia >Open heart surgery in a paraplegic patient.

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Open heart surgery in a paraplegic patient.

机译：截瘫患者的开胸手术。

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We operated on a patient who had been paraplegic since sustaining a spinal cord injury 11 years ago. We made a reversed L-shaped sternum incision and cannulated all tubes for the cardiopulmonary bypass through a wound window. This provided an excellent surgical view without restricting the patient's upper limbs (needed for wheel chair operation), and recovery was good. Just after surgery, however, it was difficult to control blood pressure and the loss of serum albumin. We believe this is the first report of open-heart surgery undertaken in a paraplegic patient and that the reversed L-shaped incision and careful monitoring of hemodynamics each played an important role in the successful outcome. We hope that this report will help in the treatment of other paraplegic patients who need open-heart surgery.

机译：我们对一名11年前因脊髓损伤而截瘫的患者进行了手术。我们做了一个反向的L形胸骨切口，并通过伤口窗口插入了所有用于体外循环的管。这样可提供出色的手术视野，而不会限制患者的上肢（轮椅操作所需），并且恢复良好。但是，刚手术后，就难以控制血压和血清白蛋白的流失。我们相信这是截瘫患者进行开胸手术的首次报道，倒L形切口和对血流动力学的仔细监测在成功手术中均起着重要作用。我们希望该报告将有助于治疗其他需要进行心脏直视手术的截瘫患者。

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来源
《Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia》 |2004年第5期|共3页
作者
Shimada Y; Kawata M; Iwasaki Y; Itoh H; Kawachi H;
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正文语种 eng
中图分类外科学各论;
关键词
Heart Neoplasms; Myxoma; Paraplegia; 心脏肿瘤; 粘液瘤; 截瘫;

机译：Heart Neoplasms;Myxoma;Paraplegia;心脏肿瘤;粘液瘤;截瘫;

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Open heart surgery in a paraplegic patient.

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