摘要
选择１９８４年５月至１９９１年１２月作心脏瓣膜替换术资料全面者１３６例，其中伴有心房纤颤者１０２例，对围术期２３项变量进行统计学分析。结果表明：左房直径、年龄及心胸比率大者术前易于发生房颤；房颤病史长及左房直径大者术后房颤再出现较早；术后影响房颤再出现的独立预测因素为左房直径、房颤病史、心胸比率、左房血栓、心率、年龄、复跳形式、及风心病病程；应用电击除颤复跳对术后房颤的暂时消失有一定的作用，但不能使房颤得到根除。
From May,1984 to Dec.1991,136 patie nts underwent valve replacement.Of these patients,102 cases complicated with atrial fibrillation(Af)preoperatively.In this study,statlstic analysis of 23 porioperative va riable related to Af was detected in 102 patients with rheumatic heat disease(RHD).The results showed that:(1)Af easily occurred in the patients with larger left atrial diameter(LAD),cardiothoracie rate(CTR)and older aged cases preoperatively;(2) Af reappeared more early postoperatively in patients with longer Af history and larger LAD;(3)The independet predictors affecting Af reapperance after open heart surge ry are as followings: LAD,Af time,CTR,left atrial thrombus, heart rate,age,resuse itation type of heart following open heart surgery and the periods of RHD;(4)electri cal defibrillation during operation for cardiac resuseitation has some effect on postoperat ive atrial defibrillation. However,it can't correct Af permanently.
出处
《中国胸心血管外科临床杂志》
CAS
1995年第1期3-5,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
心瓣膜替换术
心房纤颤
转归
Mechanical valve replacem ent
Atrial fibrillation
