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        west china medical publishers
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        find Author "向道康" 3 results
        • 抑肽酶對乙型病毒性肝炎患者體外循環術后凝血功能的影響

          目的探討抑肽酶對乙型病毒性肝炎(HB)患者體外循環(ECC)心臟手術凝血功能的影響. 方法 52例心臟病患者中,合并HB 33例,未合并HB 19例.33例合并HB患者隨機分為兩組,A組:17例,ECC中應用抑肽酶;B組:16例,ECC中不用抑肽酶;對照組:19例,為未合并HB患者,ECC中不用抑肽酶.動態監測所有患者的凝血因子Ⅺ促凝活性(FXI:C)、抗凝血酶Ⅲ活性(AT-Ⅲ:A)和D-二聚體的水平變化. 結果 A組術后出血量和輸血量明顯少于B組(P<0.01);術前3組患者FXI:C,AT-Ⅲ:A和D-二聚體組間比較差別均無顯著性意義(P>0.05);術后6小時、24小時,A組FXI:C明顯高于B組(P<0.05);3組間AT-Ⅲ:A差別無顯著性意義(P>0.05);ECC 20分鐘至術后24小時,A組D-二聚體明顯低于B組(P<0.01). 結論 HB患者ECC后存在較嚴重的凝血功能障礙;抑肽酶通過抑制繼發性纖溶功能亢進,減少凝血因子的消耗,從而減少HB患者的出血量和輸血量.

          Release date:2016-08-30 06:32 Export PDF Favorites Scan
        • 心臟異物取出二例

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        • Application of genetic testing in the diagnosis and individualized treatment of heritable aortic disease

          Heritable aortic disease (HAD) is characterized by thoracic aortic aneurysm/dissection with strong genetic predisposition and high clinical phenotypic heterogeneity. HAD is one of the main causes of sudden death. Early diagnosis of this disease is difficult because of atypical clinical symptoms, leading to the deterioration of disease with the development of aortic aneurysm, aortic dissection or sudden death. Genetic testing plays an important role in the early diagnosis, standardized follow-up, screening of family members, genetic counseling and individualized treatment of HAD. This review focused on the application of genetic testing in the standardized diagnosis and treatment of HAD.

          Release date:2025-09-22 05:53 Export PDF Favorites Scan
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