| 老年二尖瓣狭窄患者经皮气囊二尖瓣成形术 |
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| 引用本文： | 朱继金 祝善俊 赵宝箐 陶新智 来立光 李醒三 曾知恒 伍伟锋 韦金儒. 老年二尖瓣狭窄患者经皮气囊二尖瓣成形术[J]. 中华老年心脑血管病杂志, 1999, 1(1): 21-22,26 |
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| 作者姓名： | 朱继金 祝善俊 赵宝箐 陶新智 来立光 李醒三 曾知恒 伍伟锋 韦金儒 |
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| 作者单位： | [1]广西医科大学第一附属医院心内科，广西南宁530021 [2]解放军第三军医大学新桥医院心内科，重庆4130037 |
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| 摘 要： | 目的 观察老年风湿性心脏病二尖瓣狭窄患者经皮气囊二尖瓣成形术 (PBMV)的效果。方法 34名患者 ,其中男 1 4例 ,女 2 0例 ,年龄 55～ 71 (61 5± 9 4)岁。采用Inoue管或国产导管进行PBMV并观察手术前后心功能 ,血流动力学和瓣膜超声形态变化及并发症。结果 二尖瓣面积由 (0 92± 0 2 3)cm2 增至 (1 97± 0 52 )cm2 (P <0 0 1 ) ;二尖瓣跨瓣压由 (2 54± 1 1 3)kPa下降至 (0 63± 0 52 )kPa(P <0 0 1 ) ;左心房压从 (3 0 2± 1 34)kPa降至 (1 67± 1 0 2 )kPa(P <0 0 1 ) ;术后新出现二尖瓣返流 7例 ,返流加重 6例 ,但不影响疗效。 3例术中发生脑栓塞。 1 5例在 0 5～ 3年内复诊的患者中有 3例因二尖瓣再狭窄伴心功能恶化而住院。结论 PBMV对老年二尖瓣狭窄亦能取得较好的效果 ,但病例选择、手术操作有其特殊性
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| 关 键 词： | 二尖瓣狭窄 气囊扩张术 |
The outcome of percutaneous mitral valvotomy in elderly patients |
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| ZHU Ji jin,ZHU Shan jun,ZHAO Bao qing,TAO Xin zhi,ZHU Li guang,LI Xing san,ZENG Zhi heng,WU Wei feng,WEI Jin ru. The outcome of percutaneous mitral valvotomy in elderly patients[J]. Chinese Journal of Geriatric Cardiovascular and Cerebrovascular Diseases, 1999, 1(1): 21-22,26 |
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| Authors: | ZHU Ji jin ZHU Shan jun ZHAO Bao qing TAO Xin zhi ZHU Li guang LI Xing san ZENG Zhi heng WU Wei feng WEI Jin ru |
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| Abstract: | Objective To observe the immediate outcome of 34 patients who underwent percutaneous mitral valvotomy (PMV). Methods Fourteen male and 20 female patients with mean age of 61 5(55～17) years were observed.Of them, 10 had undergone mitral commissurotomy previously.Results The procedure resulted in an increase in MVA from 0.92±0.23cm 2 to 1.97±0.52cm 2 (P<0.01) and decrease in mitral valve pressure gradient from 2.54±1.13 kPa to 0.63±0.52kPa(P<0 01). No death occurred, but cerebral thromboembolism developed in three. Conclusion It is indicated that the PBMV can be peformed safely in selected elderly patients with a satisfactory immediate outcome. |
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| Keywords: | mitral stenosis percutaneous mitral valvotomy |
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