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find Author "宋来凤" 2 results
  • 先天性心脏病体外循环术后昏迷原因的临床病理分析

    目的 了解体外循环术后昏迷的脑部病理损伤基础,探讨昏迷的成因。方法 回顾26例先天性心脏病术后昏迷的临床与尸检资料,分析昏迷类型与颅脑病变的关系及其可能的原因。结果颅脑病变以脑水肿和颅内出血多见,后者包括硬膜外和硬膜下出血各3例、蛛网膜下腔出血4例、脑实质出血1例;脑炎脑膜炎3例、脑软化1例。结果 显示术后不醒的以脑水肿多见,而先清醒后昏迷的则以颅内出血多见。由于手术不彻底、手术创伤和术中大出血等引起的低心排血量或低血压7例,是颅脑病变的主要原因。此外,气栓3例、肺炎3例和肺外感染2例、肺动脉高压2例也参与了颅脑病变的形成。余9例未能查见直接的临床病理原因,但其中6例体外循环时间较长,可能与脑损伤有关。结论 颅内出血和脑水肿是昏迷的主要形态改变,但其成因复杂。体外循环不是脑损伤的唯一因素,术前选择好适应证,术中减少对心脏的创伤和控制术后感染可降低昏迷的发生和早期死亡。

    Release date:2016-08-30 06:33 Export PDF Favorites Scan
  • EVALUATION OF RECELLULARIZATION LEVEL OF BIOPROSTHETIC VALVE SCAFFOLD WITH AGNO3 STAINING TECHNIQUE IN VITRO

    Objective To explore morphological recellularization level of bioprosthetic valve scaffold (BVS) and to provide researching means for fabricating tissue engineered heart valve in vitro.Methods The homograft bioprosthetic aortic tube valve was selected as BVS, which was conserved by liquid nitrogen, and its endothelial cells (ECs) were removed by 0.1% sodium dodecylsulphate (SDS). As implantation cells, the endothelial cells (ECs) differentiating from human bone marrow mesenchymal stem cells (MSCs) in vitro were implanted with high-density seeding (gt;10 5 cells/cm2) on the BVS, which was covered by fibronectin (80 μg/ml) in advance. The complex structure was statically cultured in DMEM (high glucose) with 20% FBS and VEGF (10 ng/ml) for about 20 days in vitro and stained by 0.5% AgNO3. The morphological structure was observed and photographed by stereomicroscope to detect the recellularization level. Results The ECs of the bioprosthetic valve were notonly removed completely, but also the collagen fiber and elastic fibers were reserved. The ECs differentiating from MSCs were successfully implanted on the HBS, whose recellularization levels on 7th, 14th and 20th day were 73%, 85%, and 92% respectively. Conclusion AgNO3 staining technique is effective, convenient, and economic in evaluating the recellularization level of BVS. It is an effective method in morphological observation for fabricating tissueengineered heart valve in vitro.

    Release date:2016-09-01 09:28 Export PDF Favorites Scan
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