二尖瓣机械瓣膜置换术后腰椎手术患者围手术期卡瓣1例

心脏瓣膜置换术后患者发生卡瓣是威胁患者生命的严重并发症。当此类患者需再次行非心脏手术时,该并发症发生风险显著增加。报道1例心脏机械瓣膜置换患者在全身麻醉下行腰椎手术及术后发生卡瓣的管理过程,最后患者因心功能衰竭死亡。对心脏瓣膜置换术后患者行腰椎手术的围手术期准备和麻醉管理的经验与不足进行讨论,供临床借鉴。

Mechanical valve dysfunction in lumbar surgery:one case report

Mechanical valve dysfunction is a life?threatening complication in patients after mechanical valve replacement.Its risk will significantly increase when the patients have to undergo non?cardiac surgery again.In the current article,we reported a case in which a patient suffered from mechanical valve dysfunction after lumbar spine surgery under general anesthesia.Unfortunately,the patient died of heart failure at last.This article is to summarize the experience and drawbacks during preoperative preparations and anesthesia management so as to provide reference for clinical use.