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心脏瓣膜病的瓣膜置换治疗
引用本文:郭德和,韩育宁,陆相扬. 心脏瓣膜病的瓣膜置换治疗[J]. 宁夏医学杂志, 2007, 29(1): 21-23
作者姓名:郭德和  韩育宁  陆相扬
作者单位:宁夏医学院附属医院,宁夏,银川,750004;宁夏医学院附属医院,宁夏,银川,750004;宁夏医学院附属医院,宁夏,银川,750004
摘    要:目的 总结心脏瓣膜病的人工瓣膜置换手术治疗经验。方法 对人工瓣膜置换手术治疗的414例病人结果进行回顾分析。结果 414例中风湿性瓣膜病349例、退行性瓣膜病21例、先天性瓣膜病13例,以及感染性心内膜炎31例。共行主动脉瓣膜置换(AVR)94例,二尖瓣置换(MVR)255例,双瓣置换(DVR)65例。414例手术并发症74例(17.9%)。围术期死亡16例(3.86%)。随访4个月-10年,远期死亡12例(3.02%),余各例均能从事正常生活和工作。结论 适当地选择手术时机、充分的术前准备、良好的手术技巧和围术期处理及恰当的术后抗凝治疗是获得良好手术效果的必要因素。

关 键 词:心脏瓣膜疾病  心脏瓣膜  人工  心脏瓣膜假体植入
文章编号:1001-5949(2007)01-0021-03
修稿时间:2006-04-28

Valve replacement treatment of heart valavular disease
GUO De-he,HAN Yu-ning,LU Xiang-yang. Valve replacement treatment of heart valavular disease[J]. Ningxia Medical Journal, 2007, 29(1): 21-23
Authors:GUO De-he  HAN Yu-ning  LU Xiang-yang
Affiliation:The Affiliated Hosp. of Ningxia Med. Coll., Yinchuan 750004, China
Abstract:Objective To review the experience of prosthetic heart valve replacement.Methods 414 patients underwent prosthetic heart valve replacement,were retrospectively analysed.Results There were rheumatic valvular disease 349 cases,degenerates 21 cases,congenital 13 cases,and infective endocarditic 31 cases.The prosthetic valve replacement was underwent in aortic valve 94,mistral valve 255,and double valve 65.There were 74 cases with post operation complication(17.9%),and 16 cases death(3.86%) in early surgery.All patients were followed-up from 4 months to 10 years.There were 12 cases late deaths.Conclusion The better result would be achieved with proper indication,full preoperative preparation,selection of surgical techniques,proper perioperative management and anti-coagulation treatment after the operation.
Keywords:Heart valve disease   Heart valve prosthesis    Heart valve prosthesis implatation
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