心脏移植手术阜外医院单中心回顾—培训课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 非渗透性物质 维持保护液有效的渗透压，预防或降低细胞水肿 主要包括：葡萄糖、蔗糖、甘露醇、棉子糖、组氨酸、乳糖、軥橼酸盐等 非渗透物质的分子大小与其有效性相关，分子量越大，其抗细胞水肿的效应越强 保护液中的非渗透性成分 Collins EC UW PBS HTK HOC Celsior Glu 25 195 - - - - - Histidine - - - - 198 - 30 Lactobionate - - 100 - - - 80 Mannitol - - - - 30 185 60 Raffinose - - 30 - - - - Sucrose - - - 140 - - - ＴＥＥ 移植前的心功能再评价 移植后心内气泡的监测 移植后心功能评估、有无局部室壁运动异常、各瓣膜情况等 移植后心脏的各吻合口区的血流速度 评价肺动脉漂浮导管的位置 谢 谢 * * * * * *  * * * Center volume compared with ISHLT，本中心已经达到国际领先水平。 * 本中心心脏移植患者首要原发心脏病因为心肌病75%，比例高于国际报告。其次为冠心病占17%，比例低于国际报告。 * * 本中心与国际对比，年龄较轻。18-34岁和35-49岁年龄段比例较大。60岁以上比例低于国际报告。 * * * * * Survival was calculated using the Kaplan-Meier method, which incorporates information from all transplants for whom any follow-up has been provided. Since many patients are still alive and some patients have been lost to follow-up, the survival rates are estimates rather than exact rates because the time of death is not known for all patients. The half-life is the estimated time point at which 50% of all of the recipients have died. Survival rates were compared using the log-rank test statistic. No adjustments were made for multiple comparisons. * Survival was calculated using the Kaplan-Meier method, which incorporates information from all transplants for whom any follow-up has been provided. Since many patients are still alive and some patients have been lost to follow-up, the survival rates are estimates rather than exact rates because the time of death is not known for all patients. The half-life is the estimated time point at which 50% of all of the recipients have died. Survival rates were compared using the log-rank test statistic. No adjustments were made for multiple comparisons. * Survival was calculated using the Kaplan-Meier method, which incorporates information from all transplants for whom any follow-up has been provided. Since many patients are still alive and some patients have been lost to follow-up, th