该组病例中均采用单腔气管插管,术中使用纱布填压右肺和心包提吊均可取得良好的暴露。手术过程中持续低流量 CO2 术野灌注,无围术期卒中、气体栓塞发生;术中食管超声及术后经胸超声检查术后所有瓣膜置换术无瓣周漏发生,二尖瓣和三尖瓣成形效果良好。围术期未出现明显并发症。术后均顺利拔除气管插管及转出 ICU,无围术期死亡。
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