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1978年4月21日我院施行了一例同种原位心脏移植。病人男,38岁。临床诊断:风湿性心脏病,二尖瓣和主动脉瓣狭窄伴关闭不全,三尖瓣相对性关闭不全,肺动脉高压,房颤,全心衰竭,心功能Ⅳ级,郁血性肝肿大。术前心电图示房颤,心率104/min,左右心室肥厚。术后每日二次记心电图,直至108天。中间出现4次排异,分别在术后11、23、71、100天。兹将术后及4次排异的心电图介绍于后。术后心电图:见图1(125页) 图示移植后当天心电图呈低电压,Ⅰ、Ⅱ、
April 21, 1978 in our hospital implemented a case of the same type of orthotopic heart transplantation. Male patient, 38 years old. Clinical diagnosis: rheumatic heart disease, mitral and aortic stenosis with incomplete closure, tricuspid regurgitation, pulmonary hypertension, atrial fibrillation, heart failure, cardiac function grade Ⅳ, bloody hepatomegaly. Preoperative ECG showed atrial fibrillation, heart rate 104 / min, left ventricular hypertrophy. Second postoperative ECG twice a day until 108 days. 4 times in the middle of rejection, respectively, 11,23,71,100 days after surgery. This will be after 4 and abnormal ECG introduced later. Postoperative ECG: see Figure 1 (page 125) shows the day after transplantation ECG showed low voltage, Ⅰ, Ⅱ,