心脏介入性治疗失败后急诊手术的围术期处理

心脏介入性治疗失败后造成严重并发症需急诊手术治疗者7例，其中术前经皮二尖瓣成形术5例；经皮冠状动脉成形术2例，并发心源性休克4例；术后死亡4例。处理好围手术期间诸环节是手术成功的关键，术前尽最大努力避免心源性休克的发生，术中加强心肌保护以及尽早实施脑保护措施对减少手术早期死亡率有重要意义。

Perioperative Management of Emergency Surgery for Patients Suffered from Failed Cardiac Intervenient Treatment

The perioperative management of seven cases of emergency surgery for patients suffered from failed cardiac intervenient treatment was reported. Percutaneous mitral commissurotomy was performed in five and percutaneous coronary angioplasty in two. Cardiogenic shock developed in four of them. Four Patients died postoperatively. The key points of successful surgery lies on proper perioperative treatment. Efforts must be concentrated on avoiding to induce cardiogenic shock, enhancing myocardial protection and early performing of cerebral protection,Which will significantly reduce early postoperative mortality rate.