鲁登巴赫氏综合征和介入治疗技术——-附2例报告

目的 观察我国鲁登巴赫氏（Lutembacher）综合征的发病情况；关注医源性Lutembacher综合征的发生。方法检出1979年至2007年Lutembacher综合征在不同类型丈献报道的分布以及随机33篇丈献中6488例经皮穿刺气囊导管二尖瓣成形术（Percutaneous balloon mitral valvuloplasty，PBMV）的并发症患者的资料。结果 1．我国28年间Lutembacher综合征发病总数352例；2．1995年至2007年Lutembacher综合征呈现增多及减少趋势，可能与经皮介入治疗技术（Percutaneous Intervention Therapy，PIT）的开展有关系。3．PBMV并发症之一，心房水平左向右分流71例，同样属于医源性Lutembacher综合征，未在Lutembacher综合征发病总数中。4．经典性和医源性Lutembacher综合征的治疗和发病有所不同。结论 1．二尖瓣狭窄（Mltral Stenosis，MS）行PBMV后产生心房水平左向右分流应当诊断为医源性Lutembacher综合征并值得关注。2．关注我国医疗服务市场的准入制度进程：3．PBMV技术和部分Lutembacher综合征选用介入技术治疗具有前景，应进一步完善和规范。

Lutembacher's syndrome and percutaneous intervention therapy(a report of 2 cases)

Objective To investigate the situation of Lutembacher's syndrome in China and focus on the occurrence of the iatrogenic Lutembacher's syndrome.Methods The literatures about the Lutembacher's syndrome during 1979 and 2007 were collected and 33 papers on the Percutaneous Balloon Mitral Valvuloplasty(PBMV) complications were analyzed.Results 1.The total cases of the Lutembacher' s syndrome were 352 in 28 years.2.The Lutembacher's syndrome appeared to be instable,which maybe had relation to the PBMV.3.One of the PBMV complications,71 cases'level of atrium cordis with left-to-right shunt belonged to the iatrogenic Lutembacher's syndrome,but it was not added up to the Lutembacher's syndrome.4.The treatment and the occurrence were different between the classical and iatrogenic Lutembacher's syndrome.Conclusion 1.After PBMV is performed on the mitral stenosis,it must be diagnosed as iatrogenic Lutembacher's syndrome if the level of artrium cordis with left-to-right shunt occurs.2.The rules of medical service market must be paid attention to.3.PBMV and Percutaneous Intervention Therapy have a good perspective in the treatment of some Lutembacher's syndromes and need more perfection.