摘要
目的 总结瓣膜置换术治疗合并巨大左室的重症风湿性瓣膜病 39例的经验。方法 1994年 6月～ 2 0 0 4年 6月的39例重症风湿性瓣膜病巨大左室病人施行心脏瓣膜置换术。其中二尖瓣置换术 6例 ,主动脉瓣置换术 4例 ,主动脉瓣和二尖瓣双瓣置换术 2 9例 ;同时行三尖瓣成形术 2 1例 ,左房折叠术 10例。结果 治愈好转 34例 (87.2 % ) ,术后早期死亡 5例 (12 .8% ) ,术后室颤和严重低心排综合征、肾功能衰竭是主要的死亡原因。结论 瓣膜置换术是治疗合并巨大左室重症风湿性瓣膜病的优选方法 ,良好的心肌保护以及加强围术期的处理是手术成功的关键。
Objective To summarize experience of valve replacement for severe rheumatic disease with giant left ventricle. Methods Valvular operations were performed in 39 with giant left ventricle from June,1994 to June,2004.Combined mitral replacement was performed in 6, aortic valve replacement in 4, mitral and aortic valve replacement in 29,left atrium placation surgery in 10,tricuspid vavle annuloplasty in 21.Results Thirty-four were cured and improved(87.2%) and 5 patients died(12.8%).The major of early deaths were ventricular fibrillaton, heart failure, renal systems failure. Conclusion Valve replacement should be the preferred mode of surgical correction for severe rheumatic disease with giant left,ventricle.Satisfactory myocardial protection during CPB and proper perioperative management are key points for the successful treatment of severe rheumatic disease with giant left ventricle.
出处
《重庆医学》
CAS
CSCD
2004年第12期1788-1789,共2页
Chongqing medicine
关键词
重症心脏瓣膜疾病
巨大左室
severe heart valve diseases
giant left ventricle
