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| 重症心脏瓣膜疾病的外科治疗 | |
| 引用本文： | 于波,秦良光,谭启明,陈洪晔,刘锦屏. 重症心脏瓣膜疾病的外科治疗[J]. 现代临床医学, 2008, 34(6): 403-404 |
| 作者姓名： | 于波 秦良光 谭启明 陈洪晔 刘锦屏 |
| 作者单位： | 连云港市第一人民医院,江苏连云港,222002;连云港市第一人民医院,江苏连云港,222002;连云港市第一人民医院,江苏连云港,222002;连云港市第一人民医院,江苏连云港,222002;连云港市第一人民医院,江苏连云港,222002 |
| 摘 要： | 目的：总结重症心脏瓣膜病的外科治疗效果，探讨提高术后早期存活率的措施。方法：为148例重症心脏瓣膜病患者施行瓣膜置换术，其中116例二尖瓣置换者保留二尖瓣装置。结果：术后早期死亡率4％（6例）；治愈出院142例，心功能较术前均有不同程度提高，其中提高Ⅰ级者87例、Ⅱ级者55例。结论：对重症心脏瓣膜病外科治疗的患者需要合理的综合治疗，注重术前心功能改善，恰当选择手术时机，术中加强心肌保护，合理纠正病变，术后严密监护，加强术后并发症的防治，可提高术后早期存活率。 |
| 关 键 词： | 重症心脏瓣膜疾病 瓣膜置换术 存活率 |
Surgical Treatment of Serious Valve Heart Disease |
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| YU BoQIN Liang-guangFAN Qi-mingCHEN Hong-yeLIU Jin-ping. Surgical Treatment of Serious Valve Heart Disease[J]. Journal of Modern Clinical Medicine, 2008, 34(6): 403-404 | |
| Authors: | YU BoQIN Liang-guangFAN Qi-mingCHEN Hong-yeLIU Jin-ping |
| Abstract: | Objective:To summarize the surgical treatment result of serious heart valve disease,and investigate the treatment to improve the early-term survival.Methods:148 patients who suffered from serious heart valve disease were received valve replacement.The 116 cases of mitral replacement were adopted the preserved methods.Results: In this group,the hospital mortality was 4%(6 cases);142 patients discharged from hospital uneventfully.There was significant improvement in mean NYHA classification;improvement class I was 87 patients,II was 55 patients.Conclusion:To improve the outcome of operation,it must be paid more attention to perioperative management,choice the best operative time,myocardial protection,surgical method and intensive care. |
| Keywords: | serious heart valve disease valve replacement survival |
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