心脏不停跳行重症二尖瓣置换术46例

目的：介绍在体外循不心脏不停跳行重症二尖瓣置换术的经验。方法：在不阻断主动脉,不灌注停跳液,心脏跳动下行重症二尖瓣置换术46例,心胸比0．70－0．88,平均0．77,心脏B超LVED70－89mm,平均79mm,EF0.36-0.63,平均0．51,体外循环时间28－68min,平均46min.结果：全组术后无低心排综合征及严重心律失常和胸并发症。结这种方法能更有效地保护心肌功能,简化操作,缩短体外循环时间和手术时间,术后恢复快等优点。

Severe mitral valve replacement with heart-beating in 46 patients

Objestive: To review the exprience of severe mitral valve replacement under the condition of cardiopulmonary bypass with heart beating Method:46 patients of severe mitral valve replacement were performed,without aortic crossclamping and cardiophegin and with heart beating The cardiac thoracic ratioes of the cases were 0 70~o 88,averege0 77 Echocardingraphy showed that the LVED were 70~89mm,average 79mm,EF0 36~0 63,average 0 51 The cardiopulmonary bypass time were 28 to 68 min; average 46min Result: None of the patients had low cardiac output syndrome, severe arrythmia and cerebral complications Conclusion: The study results suggest that this method appears to be less performed, cardiopulmonary bypass time and operation time, better preserved heart-function The patients could recover more quickly