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| 1 | 经静脉置入起搏/除颤导线引起的心脏血管慢性病理改变显示文摘目的 观察长期置入起搏/除颤导线相关的慢性病理学改变.方法 本研究共包括3部分,第一对2008年3月至2011年3月38例应用准分子激光消融拔除的患者的83根起搏/除颤导线的病理学观察,第二对1例应用准分子激光消融拔除起搏/除颤导线死亡患者的尸体进行解剖研究,第三对10例既往置入起搏/除颤导线后因各种原因死亡患者的尸体进行解剖研究.结果 导线在血管内和心腔内可以形成广泛的纤维结缔组织包裹和粘连.上腔静脉近右心房处常粘连较为严重,且此处较薄弱,外侧为胸膜腔,易穿孔且穿孔后局部不能产生压迫止血作用,是本研究中1例拔出导线致死的原因.导线与三尖瓣和腱索的粘连往往较严重.位于心尖部右心室游离壁的导线尖端离心外膜较近.导线及血管、心腔内壁的血栓较常见,甚至有较大的血栓(尤其心耳内).结论 经静脉置入的起搏/除颤导线在血管内和心腔内可形成广泛的纤维结缔组织包裹和粘连,导线和三尖瓣及腱索形成复杂的解剖关系和严重的粘连,有些心室导线的顶端已经进入肌层、接近心外膜,导线及血管、心腔内壁的血栓较常见.上腔静脉近心房处组织薄弱且粘连严重,导线拔出操作可导致透壁性损伤而致患者死亡. | 李延辉 Richard Dykoski 李剑明 | 2015 | 中华心血管病杂志2015，43，5： | 7 |
| 2 | A high-resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China显示文摘 | Carolyn A. Dykoski R. Lawrence Edwards Hai Cheng Daoxian Yuan Yanjun Cai Meiliang Zhang Yushi Lin Jiaming Qing Zhisheng An Justin Revenaugh | 2005 | Earth and Planetary Science Letters2005，，1： | 3 |
| 3 | A high-resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China 显示文摘 | Dykoski C Edwards R Cheng H | 2005 | Earth and Planetary Science Letters2005，233，12： | 1 |
| 4 | A high-resolution, absolute-dated Holocene and deglaclal Asian monsoon record from Dongge Cave, China 显示文摘 | Dykoski C A Edwards R L Cheng H | 2005 | Earth and plsnetary Science Letters2005，233，： | 1 |
| 5 | A high- resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China显示文摘 | DYKOSKI C A EDWARDS R L CHENG H YUAN D X CAI Y J ZHANG M L LIN Y S QIN J M AN Z S REVENAUGH J | 2005 | Earth & Planetary Science Letters2005，233，12： | 1 |
| 6 | The Holocene Asian monsoon: Links to solar changes and north Atlantic climate显示文摘 | Wang Y J Cheng H Edwards R L He Y Kong X An Z S Wu J Y Kelly M G Dykoski C A Li X D | 2005 | Science2005，308，5723： | 1 |
| 7 | A high-resolution,absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave,China显示文摘 | Dykoski C A Edwards R L Cheng Hai Yuan Daoxian Cai Yanjun Zhang Meiliang Lin Yushi Qing Jiaming An Zhisheng Revenangh J | | 0，，1： | 1 |
| 8 | The Holocene Asian monsoon Sinks to solar changes and North Atlantic climate显示文摘 | WANG Y CHENG H EDWARDS RL HE Y KONG X AN Z WU J KELLY M J DYKOSKI C A LI X | 2005 | Science2005，8，： | 1 |
| 9 | A high-resolu- tion, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave,China显示文摘 | Dykoski C A Edwards R L Cheng H | 2005 | Earth and Planetary Sci- ence Letters2005，233，12： | 1 |
| 10 | A high-resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China 显示文摘 | Dykoski C A Edwards R L Cheng Hai | 2005 | Earth and Planetary Science Letters2005，233，12： | 1 |
| 11 | The Holocene Asian Monsoon: Links to solar changes and North Atlantic climate 显示文摘 | Wang Y J Cheng H Edward R L He Y Q Kong X G An Z S Wu J Y Kelly M J Dykoski C A Li X D | 2005 | Science2005，308，5723： | 1 |
| 12 | Timing, duration, and transitions of the last interglacial Asian monsoon 显示文摘 | Yuan Daoxian Cheng Hai Edwards R L Dykoski C A Kelly M J Zhang Meiliang Qing Jiaming Lin Yushi Wang Yongjin Wu Jiangyin Dorale J A An Zhisheng Cai Yanjun | 2004 | Science2004，304，5670： | 1 |
| 13 | The Holoeene Asian monsoon: Links to solar changes and north atlantic climate显示文摘 | WANG Y J CHENG H EDWARDS R L HE Y Q KONG X G AN Z S WU J Y KELLY M J DYKOSKI C A LI X D | 2005 | Science2005，308，： | 1 |
| 14 | A high- resolution, absolule-dated Holoeene and deglacial Asian monsoon reemxl from Dongge Cave, China显示文摘 | DYKOSKI C A EDWARDS R L CHENG H YUAND D X CAI Y J ZHANG M L LIN Y S QING J M AN Z S REVENAUGH J | 2005 | Earth and Planetary Science Letters2005，233，： | 1 |
| 15 | A high-resolution,absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave,China显示文摘 | Dykoski C A Edwards R L Cheng H | 2005 | Earth and Planetary Science Letters2005，233，： | 1 |
| 16 | A high- resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China 显示文摘 | Dykoski C A Edwards R L Cheng H Yuan D X Cai Y J Zhang M L Lin Y S Qing J M An Z S Revenaugh J | 2005 | Earth Planet Sci Lett2005，233，12： | 1 |
| 17 | A high-resolution, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China 显示文摘 | Carolyn A Dykoski R Lawrence Edwards | 2005 | Earth and Planetary Science Letters2005，233，： | 1 |
| 18 | A high-resolution, absolute-dated Holoeene and deglacial Asian monsoon record from Dongge Cave 显示文摘 | DYKOSKI C A EDWARDS R L CHENG H | 2005 | Earth and Planetary Science Letters2005，233，： | 1 |
| 19 | A high resolu- tion, absolute-dated Holocene and deglacial Asian monsoon record from Dongge Cave, China显示文摘 | Dykoski C A Edwards R L Cheng H | 2005 | Earth and Planetary Science Letters2005，233，12： | 1 |
| 20 | A high-resolution, absolute-dated Holoeene and deglacial Asian monsoon record from Dongge Cave, China显示文摘 | Dykoski C A Edwards R L Cheng H | 2005 | Earth and Planetary Science Letters2005，233，12： | 1 |
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