论文部分内容阅读
目的 总结１ 例１３ 岁终末期扩张型心肌病儿童施行原位心脏移植术（ｏｒｔｈｏｔｏｐｉｃ ｈｅａｒｔ ｔｒａｎｓｐｌａｎｔａｔｉｏｎ）的经验。 方法 供者来自一位２８ 岁严重创伤的脑死亡患者，手术在全身麻醉、中低温心肺转流术下行原位心脏移植术。 结果 手术顺利，心脏自动复跳，血流动力学稳定。术后２０ 小时停用呼吸机，第１２ 天心肌活检病理学检查无排斥反应，３１ 天出院，随访５ 个月，供者心功能良好。 结论 本例对患扩张型心肌病的儿童，术前进行了认真研究与准备，因心包腔已扩张，可采用成人供者心脏施行心脏移植。
Objective To summarize the experience of orthotopic heart transplantation in a 13-year-old child with terminal dilated cardiomyopathy. METHODS: The donor was a 28-year-old patient with severe traumatic brain injury undergoing surgery under general anesthesia and cardiopulmonary bypass undergoing primary orthotopic heart transplantation. The results of the operation smoothly, the heart automatically rebound, hemodynamic stability. Ventilator was deactivated 20 hours after operation. No rejection was found on the 12th day after myocardial biopsy. The patients were discharged on 31 days and were followed up for 5 months. The donor’s heart function was good. Conclusion This case of dilated cardiomyopathy in children with preoperative careful study and preparation, the pericardial cavity has been expanded, the heart can be used adult donor heart transplant.