摘要
ObjectivesTostudythemonitoringofrejectionafterorthotopicheartthansplantation.MethodsFrom1998to2005,10othotopicheartthansplanswereperformed,andacuterejectionwasmonitoredbyendomyocardialbiopsyaswellasbyclinicalfeatures,ECG,ultrasonocardiographyandbloodserumdeterminationofTropinI,andbythecombinationofthesemethods,weanalysedthemonitoringofacuterejectionafterthehearttransplantation.ResultsWiththecombinationofclinicalfeatures,ECG,ultrasonocardiographyandbloodserumtest,5occurencesofacuterejectionwerejudgedinthepostoperativecourse,whichwerecomfirmedbyendomyocardialbiopsytobe2acuterejectionsinⅠbdegree,3acuterejectionsinⅢadegree.Endomyocardialbiopsywereroutinelyperformed21timespostoperativelyinwhichtherewere1acuterejectioninⅠadegreeand5acuterejectionsinⅠbdegree.ConclusionsAcuterejectionisanimportantfactorinfluencingthepostoperativecourseofhearttransplantation,soitisimperativetohaveanin-time,effectiveandplannedmonitoringprocedureforacuterejection.Endomyocardialbiopsyisasensitiveandreliablemethodindiagnosisofacuterejection,butitisinvasiveandprobableforsomecomplications.Thenoninvasivemethodsuchasclinicalfeatures,ECG,ultrasonocardiographyandbloodserumtestcanbeusedasadditivemeansinthediagnosisofacuterejection.Endomyocardialbiopsyshouldbecombinedwithsomenoninvasivemethodsinmonitoringacuterejectionafterthehearttransplantation.
出版日期
2006年01月11日（中国期刊网平台首次上网日期，不代表论文的发表时间）
