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大左室、低射血分值心脏瓣膜病的外科治疗(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第3期
页码:
243-244,246
栏目:
临床研究
出版日期:
2003-05-01

文章信息/Info

Title:
Surgical treatment of vavular heart disease with giant left ventricle and low ejection fraction
作者:
王红兵; 蔡振杰; 郑奇军; 王晓武; 周更须
第四军医大学西京医院心脏外科研究所,陕西 西安710032
Author(s):
WANG Hong-bing; CAI Zhen-jie; ZHENG Qi-jun; WANG Xiao-wu; ZHOU Geng-xu
Department of Cardiovascular Surgery,Xijing Hospital,Fourth Military Medical University, Xi'an,Shaanxi710032,China
关键词:
肥大; 左心室; 射血分值; 瓣膜病
Keywords:
hypertrophy; left ventricle; ejection fraction; vavular heart disease
分类号:
R654.2
DOI:
-
文献标识码:
A
摘要:
目的:总结大左室、低射血分值心脏瓣膜病的外科治疗经验。方法:72例大左室、低射血分值的心脏瓣膜患者行外科手术治疗,术前注意改善心肺功能,术中采用温血停搏液灌注,保留二尖瓣后瓣及瓣下结构,术后强心利尿扩血管治疗,积极防治术后并发症。结果:本组术后早期发生心、肺、肝、肾等重要器官并发症17例,围术期及术后早期住院期间死亡7例,治愈出院65例。结论:大左室、低射血分值的心脏瓣膜患者行外科手术治疗危险性大,术后并发症多;选择合适手术时机,加强肺功能锻炼和围术期处理是提高大左室、低射血分值患者瓣膜置换术疗效的重要措施。
Abstract:
AIM:To summarize the experience of the effective surgical treatment of vavular heart disease with giant left ventricle and low ejection fraction (EF).METHODS:72 vavular heart disease patients with giant left ventricle and low EF were treated by surgical operation.The cardiac and lung functions were improved before the operation.During the operation,the warm stop-beating fluid was perfused into the heart,and the posterior valve of mitral valve and the structure beneath the valve were retained.Increasing cardiac tone,diuresis and vasocular dilataltion were carried out after the operation.Post-operative complications were prevented and cured.RESULTS:The complications in the heart,lung,liver and kidney occurred during early time of postoperative period in 17cases.7 patients died during peri-operation period and early time after the operation (deathrate10%).65 patients were cured.CONCLUSION:The surgical treatment of vavular heart disease with giant left ventricle and low EF is very dangerous to the patients and the patients may suffer from many complications. So choosing the suitable operation opportunity,improving the peri-operation period treatment are the important methods to increase the efficiency of vavular relpacement for the vavular heart disease patient with giant left ventricle and low EF.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2002-9-23.
更新日期/Last Update: 2003-05-01