高龄患者手术前突发心衰,葛均波院士团队上演“生死时速”

2018-12-04 复旦大学附属中山医院 齐璐璐 中国医学论坛报今日循环

85岁李老伯准备接受心脏手术,却在刚进手术室时突发急性左心衰竭,原本的择期手术变成了与死神较量的生死时速。

85岁李老伯准备接受心脏手术,却在刚进手术室时突发急性左心衰竭,原本的择期手术变成了与死神较量的生死时速。

近日,复旦大学附属中山医院心脏团队完成一例ECMO及IABP辅助冠状动脉旋磨及支架术,成功挽救了李老伯的生命。

11月27日,家人陪着李老伯再次来到复旦大学附属中山医院心导管室复查。想起两周前的遭遇,李老伯对中山医院团队的葛均波院士及其团队表达了由衷的感谢:“没有你们。我真的过不了这一关了。”

李老伯十年前被确诊为冠心病,但因害怕支架植入手术及术后副作用,一直拒绝冠脉造影检查。但是自2018年初,症状较前加重,反复发作胸闷心前区绞痛,无奈之下到复旦大学附属中山医院就诊,但造影的结果让李老伯再没了不手术的侥幸心理:三支血管严重狭窄伴钙化,而且左主干也有严重的狭窄。病情发展很快,李老伯在造影后第二天出现了不能平卧、呼吸困难等左心衰竭的情况。经过几天的抢救以后,他的心衰虽然得到了纠正,但是需要药物一直维持治疗才能缓解症状。

经过会诊,葛均波院士团队专家认为李老伯虽然病情危重且复杂,但仍有介入治疗的机会,可予旋磨治疗,尽管旋磨手术过程中,患者极有可能出现室颤、急性左心衰等并发症危及生命。如若保守治疗,不尽早改善心肌缺血,患者心衰将无法彻底纠正,随时面临生命危险。

面对这样复杂的情况,专家们在反复评估患者冠脉病变及全身情况后,决定在ECMO及IABP(主动脉脉内球囊反博)支持下行冠状动脉旋磨及支架术。ECMO是一种体外循环技术,其原理是将体内的静脉血引出体外,经过特殊材质的人工心肺旁路氧合后再注入病人动脉或静脉系统,起到部分替代心肺功能的作用。IABP则起到增加冠状动脉血流灌注、减少心肌氧耗、增加心输出量的作用。两者共同应用可增加冠状动脉旋磨术中患者的安全性,李老的手术如果没有ECMO及IABP的辅助,单纯进行旋磨术及支架手术风险非常大,术中极有可能出现危及生命的风险。

11月13日手术当天,李老伯刚进入导管室,却再次出现急性左心衰竭,情况十分危急,随时会有生命危险。怎么办?是先行抢救姑息治疗,还是立刻手术与死神一搏?主刀医生马剑英副主任医师当机立断,决定立即开始既定治疗。在导管室进行全麻后对患者行气管插管,心外科林熠主治医师迅速分离股动静脉,体外循环李欣主任医师快速建立ECMO,之后穿刺左侧股动脉放置IABP,生命体征稳定后立即进行支架手术。手术团队首先开通患者右冠状动脉并植入支架,然后左冠状动脉进行了旋磨术,旋磨成功后植入三枚支架;最后开通患者的左主干及另外两根血管,完成了患者的全血运重建治疗。整个手术过程中李老伯生命体征稳定,没有出现室颤等并发症。术后即刻撤除ECMO,转入监护室观察3小时后拔除气管插管,术后翌日他的症状明显改善,术后2天拔除IABP,第5天患者顺利出院。术后患者恢复非常好,术前稍微活动后就不舒服的情况再也没有发作。

这例内外科协作、ECMO辅助高危冠脉介入治疗案例的开展,标志着中山医院心内科介入治疗水平再上一个新台阶,后可为更多的高危患者解决疾苦。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (8)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
    2018-12-06 xlysu
  5. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
    2018-12-05 1209e435m98(暂无昵称)

    学习了,谢谢

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
    2018-12-05 白袍甘道夫

    真棒!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=2083768, encodeId=78df2083e6867, content=<a href='/topic/show?id=3468690595e' target=_blank style='color:#2F92EE;'>#生死时速#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69059, encryptionId=3468690595e, topicName=生死时速)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7fbd46, createdName=mei531, createdTime=Sat Jul 06 21:19:00 CST 2019, time=2019-07-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1803442, encodeId=e92f1803442fe, content=<a href='/topic/show?id=a3fce54784c' target=_blank style='color:#2F92EE;'>#突发心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75478, encryptionId=a3fce54784c, topicName=突发心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3dd32500118, createdName=644982816_68283321, createdTime=Mon Sep 30 06:19:00 CST 2019, time=2019-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2045957, encodeId=4d72204595e3e, content=<a href='/topic/show?id=1f1410283499' target=_blank style='color:#2F92EE;'>#高龄患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102834, encryptionId=1f1410283499, topicName=高龄患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f503121, createdName=zjubiostat, createdTime=Mon Jul 29 18:19:00 CST 2019, time=2019-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416086, encodeId=76d0141608650, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626273, encodeId=144316262e331, content=<a href='/topic/show?id=44ca88222d2' target=_blank style='color:#2F92EE;'>#葛均波院士#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88222, encryptionId=44ca88222d2, topicName=葛均波院士)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63720999381, createdName=hjwang86, createdTime=Thu Dec 06 14:19:00 CST 2018, time=2018-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354530, encodeId=e74d3545306f, content=学习了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Wed Dec 05 17:00:15 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=354514, encodeId=eab735451464, content=真棒!, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/10/17/33f971601e45370716a5daf5304c5753.jpg, createdBy=caf52395744, createdName=白袍甘道夫, createdTime=Wed Dec 05 11:48:38 CST 2018, time=2018-12-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1049033, encodeId=e1c2104903372, content=院士是学术至高点,也是大家必争之地呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=junJUN, createdTime=Wed Dec 05 02:19:00 CST 2018, time=2018-12-05, status=1, ipAttribution=)]
    2018-12-05 junJUN

    院士是学术至高点,也是大家必争之地呀

    0

相关资讯

JACC:射频肾脏去神经术可以改善心衰预后

既往研究报道,射频(RF)肾去神经术(RDN)可以减少心梗大鼠的梗死面积,改善左室功能和血管反应性。本研究的目的旨在评估RF-RDN在血压正常的心衰伴射血分数降低(HFrEF)猪模型的疗效影响。本研究对尤卡坦迷你猪进行了75min的左前降支冠脉阻塞以造成心梗模型,随后进行再灌注长达18周时间,并通过经胸超声心动图对术前及术后的猪进行心功能的评估。HFrEF 定义为左室射血分数<40%,并对符合入组

JACC:NT-proBNP指导下的心衰治疗花费更多且无益处

GUIDE-IT临床试验比较了N-末端B型利钠肽(NT-proBNP)指导下的心衰治疗和单纯的内科治疗在高风险心衰患者中的效果,但该研究因无明显作用而被提前终止。本研究的目的旨在评估GUIDE-IT临床试验中的治疗相关生活质量(QOL)和经济产出。本研究对GUIDE-IT临床试验患者中的基线、随机分组后3、6、12和24个月的QOL。在对446名随机分至NT-proBNP指导下心衰治疗组患者和44

JAMA:吸入亚硝酸盐不能提高心衰患者的运动能力

研究认为,心衰患者吸入亚硝酸盐不能显著改善其运动能力

高龄、心衰、肾功能不全……这样的患者束手无策?不!有办法!

患者男,90岁,主诉“发现血压升高30余年,反复心累6年多,加重2周”入院。

Diabetes Obes Metab:2型糖尿病门诊患者心衰的发生率及MR-proANP的诊断价值

总之,HFrEF在T2DM门诊患者中很少见,MR-proANP可用于排除HFrEF病例,并在报告存在呼吸困难的患者诊断HF时提供了额外的信息。

Am J Cardiol:饮酒不会增加老年高血压患者患心衰的风险

在线发表于《The American Journal of Cardiology》杂志上的一项研究表明,饮酒与老年高血压患者患心衰的风险无关。