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重症心脏瓣膜病围手术期处理
引用本文:张克强. 重症心脏瓣膜病围手术期处理[J]. 国际医药卫生导报, 2005, 11(4): 4-6
作者姓名:张克强
作者单位:佛山市顺德区第一人民医院心胸外科,广东佛山,528300
基金项目:科技攻关项目,广东省顺德市2000科技计划项目编号:2000-21
摘    要:
目的通过对34例重症心脏瓣膜病患者的治疗分析,找到重症心脏瓣膜病的诊治规律,提高诊治水平。方法对我院自1995年7月至2002年12月收治的34例重症心脏瓣膜病病例进行回顾性分析,并结合国内外相关文献进行对比分析。结果术后共有23例出现并发症,治愈30例,死亡4例。结论围手术期I必须使用洋地黄、极化液等强心、利尿治疗。开放阻断时要用洋地黄、速尿并补钾。对术前患有脑梗塞的病人,体外循环转流需要平稳。

关 键 词:重症  风湿性心脏瓣膜病  手术  体外循环  围手术期
文章编号:1007-1245(2005)04-0004-03
修稿时间:2004-09-15

The Handles of Rounds the Surgical Operation to the Advanced Case Heart Valve Disease
ZHANG Keqiang. The Handles of Rounds the Surgical Operation to the Advanced Case Heart Valve Disease[J]. International Medicine & Health Guidance News, 2005, 11(4): 4-6
Authors:ZHANG Keqiang
Abstract:
Objective Pass to 34 advanced cases heart valve patient of the treatment analyzes,finding out the diagnosis that advanced case heart valve get sick with cure the regulation,increasing diagnosis with cure the level. Method Accept 34 advanced cases heart valve disease casethat cure the proceeding December to the 2002 from July of 1995 to my hospital the review analyze,combining the combinative domestic and international and related cultural heritage proceed thecontrast the analysis. Result Have totally after operation 23 examples appear the complications,curing 30 example, die 4 example. Conclusion The diagnosis standard of the advanced case heartvalve disease is.Rounding the surgical operation period must use the digitalis and turn the strongheart, benefit in etc. in liquid urine treatment very.To use the digitalis, wet soon when openningthe break and repair the potassium.Get the patient that brain obstruct before to the surgicaloperation, is outside to circulate to turn to flow the demand steady.
Keywords:The advanced case rheumatism heart valve disease surgical operation extracorporealcirculation round the surgical operation period
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