摘要
回顾１１３例经皮球囊肺动脉溶成形术（ＰＢＰＶ）的经验。患者年龄２～４５（平均１３．３）岁。术后即刻肺动脉－右室平均收缩压差自１２．２±５．２ｋＰａ（９１．７±３８．８ｍｍＨｇ）下降到４．５±３．９ｋＰａ（３３．４±２９．６ｍｍＨｇ），平均跨瓣压差下降到１．８±１．１ｋＰａ（１３．２±８．５ｍｍＨｇ）。３～３４（平均１８．４）个月后１８例复查右心导管，证实了ＰＢＰＶ中期疗效的可靠性。作者比较了使用单球囊，双球囊和Ｉｎｏｕｅ球囊行ＰＢＰＶ的结果，指出后者疗效更佳，推荐用于少年和成人组患者。本文还讨论了ＰＢＰＶ并发症、心肌激惹所致右室流出道压差的测量和转归等问题。
Percutaneous balloon pulmonary valvuloplasty (PBPV) was performed in 113 cases from Apr.1986 to July 1993. There were 64 males and 49 females, age ranged from 2 to 45 years with an average of 13.3.After PBPV the peak pulmonary gradient (PPG) dropped from 12. 2±5. 2 kpa (91.7±38. 3 mmHg) to 4.5±3. 9kpa (33.4±29.6 mmHg) and pulmonary transvalvular gradient (PTG) decreased to 1. 8±1. 1 kpa (13. 2±8.5 mmHg). Follow-up recatheterization for 18 patients was carried out within 3 to 34 (mean 18.4)months.The study demonstrated that excellent to good mid-term results were attained. Comparing with other types of balloon, we recommend Inoue balloon as the best choice for treatment of pulmonary stenosis in adults and adolescence.
出处
《中国循环杂志》
CSCD
1995年第1期18-22,共5页
Chinese Circulation Journal
