[心房,心室切口和关闭技术]
1Department of Cardiovascular Surgery, Iwate Medical University, Iwate, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|December 1, 2024
概括
本系列详细介绍了心房和心室切口和关闭的手术技术,这对于治疗先天性心脏缺陷和门疾病至关重要. 了解这些方法可以确保适当地暴露心脏结构,以进行有效的手术修复.
科学领域:
- 心脏外科手术 心脏外科手术
- 心血管解剖学 心血管解剖学
- 手术技巧 手术技巧
背景情况:
- 心房和心室切口是心脏手术中的基本手术方法.
- 特定的技术,如右心房切除术,左心房切除术和左心室切除术,对于治疗各种心脏病理至关重要.
研究的目的:
- 描述和阐明心房和心室切割和关闭的外科手术技术.
- 要突出右心房切除术,左心房切除术和左心室切除术的具体应用和解剖学目标.
主要方法:
- 对三膜和隔膜缺陷暴露的右心房切除术的详细描述.
- 解释左心房切除技术 (横截面,上截面) 用于中枢病和迷宫手术.
- 左心室静脉切除术的概要,用于心室动脉瘤切除,隔膜破裂修复和内神经瘤.
主要成果:
- 建立了用于访问和修复先天性心脏异常和获得的门疾病的手术方法.
- 证明了精确切割技术对于最佳可视化和手术结果的重要性.
- 突出了在心室静脉切除术中使用强化材料的使用,如Teflon感觉在心室静脉切除术中,以确保线完整性和血液静止.
结论:
- 掌握心房和心室切割和关闭技术对于心脏手术的成功至关重要.
- 这些描述的方法为手术医生提供了必要的指导,对三巴,心心和心室结构进行手术.
- 有效的手术暴露和安全的关闭对于管理复杂的先天性和获得性心脏病至关重要.
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The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
Location and Orientation of the Heart
The human heart, despite its modest size and weight, is an organ of remarkable strength and endurance. Roughly the size of a fist, the heart weighs between 250 and 350 grams and is nestled within the mediastinum, the medial cavity of the thorax. It extends obliquely for about 12 to 14 cm, resting on the superior surface of the diaphragm. The heart is positioned anterior to the vertebral column and posterior to the sternum, with two-thirds of its mass lying to the left of the midsternal line.
Chambers of the Heart
The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Deoxygenated blood from the body is received in the right...
Heart Valves
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Heart Sounds
Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Anatomy of the Heart
The heart is a hollow, muscular organ approximately the size of a fist, consisting of four chambers. It is enclosed in the pericardium, a fibrous sac with two layers: the visceral and parietal pericardium, separated by a fluid-filled space containing serous fluid to reduce friction.
The heart has three layers: the innermost endocardium, the muscular myocardium, and the outer epicardium, all working together for optimal cardiac function.
Chambers of the Heart
The heart is made up of four...
The heart has three layers: the innermost endocardium, the muscular myocardium, and the outer epicardium, all working together for optimal cardiac function.
Chambers of the Heart
The heart is made up of four...
