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本文报告849个同种硬脑膜心脏瓣膜对751例病人进行了移植,二尖瓣428例,主动脉瓣365例,三尖瓣52例,肺动脉瓣4例。有7例房室瓣用硬脑膜瓣同时主动脉瓣用Starr-Edward办。病人年令3~80岁。[瓣膜的制作] 硬脑膜取自死后14小时内的尸体,感染、退行性疾病或癌肿者不能用。切开头皮向前牵拉,在距乳突颅底上1厘米处锯开颅骨、脑膜及脑,将脑移去,硬脑膜从颅骨分离,上矢状窦切开,硬脑膜用流水冲洗约1小时,随后将硬脑膜固定和保存在98%甘油中于室温下至少12天。瓣膜的制作在手术室无菌操作下进行,硬脑膜置生理盐水中再水合约5分钟。瓣由三叶组成并缝于包在不锈钢架上的绦纶绒上,每个瓣叶剪成不同大小的
In this paper, 849 dural valves of the same type were implanted in 751 patients. There were 428 cases of mitral valve, 365 cases of aortic valve, 52 cases of tricuspid valve and 4 cases of pulmonary valve. There are 7 cases of atrioventricular valve with aortic valve flap with Starr-Edward do. The patient’s age 3 to 80 years old. [Production of Valves] Durals should not be used for bodies, infections, degenerative diseases, or cancer that are within 14 hours after death. Cut the scalp to pull forward, at a distance of 1 cm from the mastoid skull saw the skull, meninges and brain, the brain removed, the dura separated from the skull, the sagittal sinus incision, dura washed with water about 1 hour, then dura mater fixed and stored in 98% glycerol at room temperature for at least 12 days. Valve production in the operating room aseptic operation, the dura placed in normal saline rehydration for about 5 minutes. The petals are made of three-cot and stitched on a polka-dotted velvet wrapped in a stainless steel frame, each cut into different sizes