大隐静脉是搭桥手术常用的桥血管材料。但这并不意味着大隐静脉是无关紧要的。下肢小腿部位静脉回流主要依靠大隐静脉和小隐静脉。大隐静脉被拿掉后,下肢静脉回流的任务只能由小隐静脉独立承担,这时,小隐静脉不太发达的病人,或多或少会出现不同程度的下肢水肿,尤其在下地活动后会更加明显。因此搭桥病人出现这种情况时不必过分紧张。绝大部分病人通过物理的方法帮助下肢水分回流回心脏就会消除水肿,具体的做法穿戴治疗静脉曲张的弹力袜和卧床时抬高患肢。静脉曲张弹力袜选择从脚背到膝关节的那种。而抬高患肢指的是卧位时小腿要高于前胸。
换瓣术后华法林用量要求根据INR值进行调整,低了增加用量,高了减少用量。道理很简单,但在现实中经常有病人反应自己INR值不稳定,忽高忽低。询问原因通常都是调整药物的过程中太心急了。虽然调整药量就跟做菜放盐一样,但增加或者减少华法林的用量后可能要3到4天才能完全显示出药量调整的作用,所以建议不要在几天的时间内连续增加或者减少药量,而是在改变药量后连续用3到4天甚者更更长点时间,看有无继续调整的必要。
Is it possible to obtain "true endothelial progenitor cells" by in vitro culture of bone marrow mononuclear cells?Zhang SJ, Zhang H, Hou M, Zheng Z, Zhou J, Su W, Wei Y, Hu S.Stem Cells Dev. 2007 Aug;16(4):683-90.PMID: 17784841Adult endothelial progenitor cells from human peripheral blood maintain monocyte/macrophage function throughout in vitro culture.Zhang SJ, Zhang H, Wei YJ, Su WJ, Liao ZK, Hou M, Zhou JY, Hu SS.Cell Res. 2006 Jun;16(6):577-84.PMID: 16775629A comparison before and after aprotinin was suspended in cardiac surgery: different results in the real world from a single cardiac center in China.Wang X, Zheng Z, Ao H, Zhang S, Wang Y, Zhang H, Li L, Hu S.J Thorac Cardiovasc Surg. 2009 Oct;138(4):897-903. Epub 2009 May 21.PMID: 19660368Surgery of left ventricular aneurysm: a propensity score-matched study of outcomes following different repair techniques.Zheng Z, Fan H, Feng W, Zhang S, Yuan X, Wang L, Song Y, Hu S.Interact Cardiovasc Thorac Surg. 2009 Sep;9(3):431-6. Epub 2009 Jun 10.Signal pathways involved in reverse remodeling of the hypertrophic rat heart after pressure unloading.Xu R, Lin F, Zhang S, Chen X, Hu S, Zheng Z.Int J Cardiol. 2009 Jul 23. [Epub ahead of print]PMID: 19631998Comparison of drug-eluting stents and coronary artery bypass surgery for the treatment of multivessel coronary disease: three-year follow-up results from a single institution.Li Y, Zheng Z, Xu B, Zhang S, Li W, Gao R, Hu S.Circulation. 2009 Apr 21;119(15):2040-50. Epub 2009 Apr 6.PMID: 19349321Impact of renal dysfunction on long-term survival after isolated coronary artery bypass surgery.Lin Y, Zheng Z, Li Y, Yuan X, Hou J, Zhang S, Fan H, Wang Y, Li W, Hu S.Ann Thorac Surg. 2009 Apr;87(4):1079-84.PMID: 19324131The Chinese coronary artery bypass grafting registry study: how well does the EuroSCORE predict operative risk for Chinese population?Zheng Z, Li Y, Zhang S, Hu S; Chinese CABG Registry Study.Eur J Cardiothorac Surg. 2009 Jan;35(1):54-8. Epub 2008 Sep 7.PMID: 18778949Impact of renal dysfunction on long-term survival after isolated coronary artery bypass surgery.Lin Y, Zheng Z, Li Y, Yuan X, Hou J, Zhang S, Fan H, Wang Y, Li W, Hu S.Ann Thorac Surg. 2009 Apr;87(4):1079-84.PMID: 19324131