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جراحی قلب باز و بسته - بعد از یافتن P.D.A دو روش برای جراحی وجود دارد :
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بعد از یافتن P.D.A دو روش برای جراحی وجود دارد :

1- دو سر مجرا را با کلمپ داکتوس گرفته و وسط آن را کاملاً قطع می کنند و بعد دو سر آزاد شده را معمولاً با پرولن 0/4 به طور کامل می دوزند که به این روش به روش قطع کردن یا Division می گویند.

2- روش دوم در دو سر مجرا معمولاً با پرولن 0/4 پرس می زنند و بعد بسته به نظر جراح با نخ ایتبوند 0/2 ،0/3 و یا 0/4 یک دور داخل مجرای PDA رفته و به طور کامل گره می زنند که به این روش Trans fix می گویند

بعد از بستن مجرا چست تیوپ مورد نظر را گذاشته و بعد دنده را می بنندد و عمل به پایان می رسد



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