SURGICAL TREATMENT OF MITRAL STENOSIS
SURGICAL TREATMENT OF MITRAL STENOSIS
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二尖瓣狭窄的手术治疗
DOI：
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发表时间：
1952
期刊：
影响因子：
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通讯作者：
M. Sadove
中科院分区：
文献类型：
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作者：
O. C. Julian;W. S. Dye;L. Baker;M. Sadove
外科手术解除二尖瓣梗阻现在可以说已经成为一种既定的做法。与20世纪20年代S尝试应用这种疗法时遇到的不可逾越的困难形成鲜明对比的是，现在的手术在外科技术、麻醉、术前和术后护理以及用化疗和抗生素控制感染方面都有进步。此外，现在可以通过心导管技术和循环和肺功能测试，或多或少地定量地评估二尖瓣阻塞所引起的生理变化。最后，也可以在手术时检查肺循环甚至左耳廓的压力变化。这些测量不仅用于根据症状和体征确认关于二尖瓣狭窄动态后果的推断，而且它们还证明了
SURGICAL relief of mitral obstruction may now be said to have become an established practice. In sharp contrast to the insurmountable difficulties which beset the attempts to apply this form of therapy in the 1920's, current procedures have the advantage of advances in surgical technique, in anesthetization, in preoperative and postoperative care, and in the control of infection with chemotherapy and antibiotics. Furthermore, it is now possible, with techniques of cardiac catheterization and tests of circulatory and pulmonary function, to appraise, in more or less quantitative terms, the physiological changes consequent upon the obstruction at the mitral valve. Finally, changes in pressure in the pulmonary circulation and even in the left auricle may also be checked at the time of operation. Not only have such measurements served to confirm deductions, based on symptoms and physical signs, with regard to the dynamic consequences of mitral stenosis, but they have demonstrated the