摘要
目的:探讨闭式二尖瓣扩张术后心脏瓣膜替换术的手术指征、手术方法及并发症防治。方法:回顾分析闭式二尖瓣扩张术后心脏瓣膜替换52例,男性14例,女性38例,年龄25～69岁。术式为二尖瓣替换46例,二尖瓣+主动脉瓣替换6例,同时施行三尖瓣成形14例,左心房血栓清除8例,冠状动脉搭桥1例。结果:术后并发脑栓塞2例,其中1例死于严重脑损害;急性心包压塞1例,经及时心包引流治愈。随访3个月至16年,获访47例,晚期死亡1例,其余心功能明显改善。结论:合理选择手术适应证,术中加强心肌保护,有效预防脑栓塞和术中、术后出血是取得良好疗效的关键。
Objective： To discuss appropriately operative indication, method and prevention and treatment of perioperative complication. Method： Cardiac valve replacement was performed in 52 patients after closed mitral commissurotomy.h included 14 male and 38 female patients aged 25-69 years old. Mitral valve replacement was performed in 46 and both mitral and aortic in 6, associated procedures were tricuspid annuloplasty in 14, left artrium thorombectomy in 8 and coronary artery grafting in 1. Result：There were cereboembolism in 2 cases in which 1 case was death and cardiac tamponade in 1 case treated by pericatdiostomy. Follow-up 3 months to 16 years there was 1 death, and other shows substantial improvement in cardiac function. Conclusion： The choice of appropriately operative chance, myocardial presevation and prevention of cerebroembolism and hemorrhage were the keys to get an excellent result in patients performed valve replacement after closed commissurotomy.
出处
《心肺血管病杂志》
CAS
2005年第3期155-156,173,共3页
Journal of Cardiovascular and Pulmonary Diseases
