摘要
目的总结56例感染性心内膜炎(IE)瓣膜损害的外科治疗经验。方法56例IE患者均在体外循环下施行心内直视手术,其中左房室瓣置换24例,双瓣膜置换19例,主动脉瓣置换7例,右房室瓣成形3例,右房室瓣置换2例,Bentall手术1例;同期矫治合并其他心血管畸形8例。急诊手术占34%(19/56)。结果长期存活50例,心功能均为Ⅰ～Ⅱ级。早期死亡4例(7.2%),其中3例为低心排综合征,1例为人工瓣感染性心内膜炎;晚期死亡2例。结论对IE,尤其是急性心衰伴进行性加重不能控制者,应在血流动力学及瓣膜条件恶化前积极采用手术治疗。
Objective To summarize the surgical treatment experience of 56 cases with infective endocarditis. Methods Fifty-six patients underwent intracardiac surgery under extracorporeal circulation including left atrioventricular valve replacement in 24, two valves replacement in i9, aortic valve replacement in 7, right atrioventricular valve shaping in 3, right atrioventricular valve replacement in 2, and Bentall operation in 1. Anisotrophies were corrected at same time in 8 cases. Emergency operations were performed in 19 （34%） patients. Results Fifty patients survived with their heart function of NYHA Ⅰ-Ⅱ. Four patients died at early stage （7.2%）,of whom 3 died from low cardiac output syndrome and one from artificial valve infective endocarditis. Two patients died in the late stage. Conclusion Active surgical intervention should be taken before hemodynamics and valve condition going worse in the patients with infective endocarditis with acute progressive and uncontrollable heart failure.
出处
《江苏医药》
CAS
CSCD
北大核心
2008年第10期1017-1019,共3页
Jiangsu Medical Journal
