101岁老妇接受他汀类药物治疗的生存率

W. Feeman
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引用次数: 11

摘要

心脏移植是新生儿和患有先天性心血管疾病的儿童在常规治疗或姑息治疗后最后一种谨慎的选择。我们计划在回顾和图形调查中介绍我们的结果。技术:1988年至2015年共进行青少年心脏移植手术18例(女性9例,男性9例)。足够大的范围在0天到3年之间。移植的征象是左心发育不全(n=14),非紧致状态(n=2),白-白-花环状态(n=1)和难以置信的走廊呈现(n=1)。14名青少年(78%)过去曾接受过心血管治疗。4例患者(22%)需要机械循环帮助跨越:ECMO (n=2;11%), LVAD + ECMO (n=2;11%)。15例(83%)采用双房技术,3例(17%)采用双房技术。结果:注射后中间滞留时间为68天(最小0天,最大386天,标准差102.8天)。总体忍耐力为61%,其中13只(72%)能忍受主年。2例患者(11%)进行了移植。中期患者在急诊科住院17天(最短1天;最长:121天)。连续呼吸7天(最短1天;马克斯:91天)。围手术期变量分析:中期心肌缺血时间236分钟。中主动脉夹持时间为95分钟;循环捕获的中间时间是一小时。三名儿童(17%)有心包积液。两名患者(11%)分别经历了死亡、心血管心律失常、膈肌轻瘫和大脑困难。5例(28%)患有淋巴细胞增生性疾病。7名儿童(39%)出现冠状动脉血管病变。2例(11%)需要介入治疗。3人(17%)使用了心血管起搏器。据我们所知,有六个孩子被开除,需要接受治疗。结束:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survival of 101 year old woman on statin therapy
Heart transplantation is the last careful alternative for newborn children and small kids with inherent cardiovascular breakdown after bombed ordinary fix or palliative methods. We plan to introduce our outcomes in a review and graphic investigation. Techniques: Eighteen heart transplantations on youngsters (nine females and nine guys) were performed from 1988 to 2015. The scope old enough was between 0 days and three years. Signs for a transplantation were hypoplastic left heart disorder (n=14), non-compaction-condition (n=2), Bland-White-Garland-condition (n=1) and rendering of the incredible corridors (n=1). Fourteen youngsters (78%) had a past cardiovascular medical procedure. Four patients (22%) required mechanical circulatory help for spanning: ECMO (n=2; 11%), or LVAD and ECMO (n=2; 11%). Fifteen (83%) experienced a biatrial technique, three (17%) a bicaval one. Results: The middle holding up time in the wake of posting was 68 days (min: 0 days, max: 386 days, standard deviation (SD): 102.8 days). The general endurance was 61%, 13 youngsters (72%) endure the main year. Two patients (11%) had transplantation. The middle time patients spent at emergency unit 17 days (min: 1 day; max: 121 days). They were respirated for seven days (min: 1 day; max: 91 days). Perioperative variables we broke down were: the middle myocardial ischemia time was 236 minutes. The middle aortic cinch time was 95 minutes; the middle time of circulatory capture was an hour. Three kids (17%) got a pericardial emission. Two  patients (11%) endured each: dying, cardiovascular arrhythmias, diaphragmatic paresis and cerebral difficulties. Five (28%) got a lymphoproliferative sickness. Seven kids (39%) got a coronary unite vasculopathy. Two (11%) required interventional treatment. Three (17%) got a cardiovascular pace producer. As per our information, six kids had a dismissal which called for treatment. End:
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