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  • west china medical publishers
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    find Author "宋光民" 3 results
    • 套管法與縫合法行大鼠異位心臟移植術的比較

      目的分別采用縫合法和套管法制作大鼠異位心臟移植模型,以便為器官移植的研究提供理想的手術方式. 方法 SD大鼠為受者,Wistar大鼠為供者.套管法是將供者的無名動脈和肺動脈分別與受者的頸總動脈和頸外靜脈行套管連接.縫合法是將供者的升主動脈和肺動脈分別與受者的腹主動脈和下腔靜脈吻合. 結果套管法手術180次,手術成功率高于96%;縫合法手術20次,手術成功率小于40%. 結論套管法心臟移植術操作簡單,熱缺血時間短,并發癥少,手術成功率明顯提高.

      Release date:2016-08-30 06:34 Export PDF Favorites Scan
    • 供者脾細胞和環磷酰胺聯合預處理對移植心臟存活的作用

      目的 誘導同種異體心臟移植的免疫耐受,為心臟移植的抗排斥反應治療提供依據.方法 采用供者脾細胞和環磷酰胺聯合預處理受者,誘導受者對移植心臟的免疫耐受,然后行大鼠頸部心臟移植術.將實驗動物分成5組.對照組:受者不作任何預處理;組1:預處理第2天用環磷酰胺50~80mg/kg預處理受者;組2:預處理當天用供者5~10×107個脾細胞預處理受者;組3:受者不作任何預處理,手術當天開始用環孢菌素A 10mg/kg,每2天1次,共8~10次,腹腔內注入;組4:預處理當天用供者脾細胞5~10×107個和第2天環磷酰胺50~80mg/kg聯合預處理受者.結果 各組移植心臟的存活時間明顯不同,5組移植心臟的存活時間差異有顯著性(Plt;0.01).供者脾細胞和環磷酰胺預處理受者的移植心臟存活時間明顯延長.結論 供者脾細胞和環磷酰胺聯合預處理,可誘導受者對移植心臟的免疫耐受.

      Release date:2016-08-30 06:35 Export PDF Favorites Scan
    • Development of Physiologic Fixation Method on Porcine Aortic Root and Aortic Valve Leaflets

      Objective To study the development of a physiologic fixation method and investigate the effect of physiologic fixation method on porcine aortic root and aortic valve leaflets. Methods Physiological fixer of aortic root was manufactured in a factory. The fixers with different diameter were made of organic glass. Porcine aortic root with ascending aorta and anterior leaflet of mitral valve and partial ventricular septum were dissected out from the fresh heart. The roots were attached to appropriately sized inflow and outflow spigots. Physiologic fixation was utilized to maintain aortic root and leaflets natural anatomical shape, the aortic root was pressurized to the inflow and outflow portions simultaneously, and the leaflets floated freely at zero-pressure differential with in the pressurized root. Results The process of physiologic fixation retained the properties of a native valve. The leaflets were much softer and extensible than those from valves fixed under low pressure. The results of pulsatile flow testing indicated that the effective orifice areas of predilation at 80mmHg were significantly greater than those of predilation at 40 mmHg(P〈0.05), while mean pressure differences were found to be lower comparatively(P〈0.05). This difference translates into a mode of valve function that more closely approximates that of the native aortic valve. Conclusion Physiologic fixation process retains the valve's natural anatomical shape as well as the underlying structure of the leaflets, providing improved flow characteristics.

      Release date:2016-08-30 06:23 Export PDF Favorites Scan
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  • 松坂南