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helikopter
Dołączył: 03 Mar 2011
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Skąd: England
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 Wysłany: Wto 17:10, 08 Mar 2011 Temat postu: ugg boots italia fgx gyw biz tni |
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Children of perimembranous ventricular septal defect analysis of complications of interventional treatment
Hurt tracts or torn branches; ② occluder diameter: Occluder is too large, can lead to defects in the edge of the tension is too high,[link widoczny dla zalogowanych], directly or indirectly defect edge edema oppression tracts, causing conduction block. Our experience is: ① transcatheter closure of VSD to reduce the incidence of postoperative block to be determined preoperatively by TTE anatomical types and subtypes of VSD,[link widoczny dla zalogowanych], the Department of Film Week to shed muscle and membrane weeks trabecular type should high degree of vigilance; ② accurate measurement of intraoperative left ventricular angiography of right ventricular septal surface defect hole diameter, placed as close with the defect occluder Diameter; ③ surgery operation must be gentle, do not use violence; ④ such as surgery 631 * appeared in bundle branch block or atrioventricular block, conventional dexamethasone, VitC, etc., and discharged after observation 5 ~ 7d; ⑤ must be regular follow-up after surgery to facilitate early detection of atrioventricular block . Hemolytic more common in patent ductus arteriosus and VSD of interventional therapy. . The patients in 2 cases 1 ~ 2d hemolytic given hormones, fluid replacement, alkalinization of urine,[link widoczny dla zalogowanych], bed rest and other treatment, the hemolysis disappeared. Our experience is: ① angiography after transcatheter closure of residual shunt in patients with bundle seen, patients should be alert to the occurrence of hemolysis. If noise is greater than grade Ⅱ or more,[link widoczny dla zalogowanych], shall not release the closure device being observed again after 10 ~ 15min imaging, such as the residual shunt still bundle,[link widoczny dla zalogowanych], you need to reposition the occluder; ② such as postoperative hemolysis may used under the close observation of conservative treatment. The point is rehydration therapy and alkalinization of urine, hemolysis from largely disappeared.
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