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62例心脏瓣膜病变的外科治疗
引用本文:徐东,杨小龙,丁伯应,任刚,龚荣福,刘峰. 62例心脏瓣膜病变的外科治疗[J]. 皖南医学院学报, 2007, 26(3): 179-180
作者姓名:徐东  杨小龙  丁伯应  任刚  龚荣福  刘峰
作者单位:皖南医学院附属弋矶山医院,胸心外科,安徽,芜湖,241001
摘    要:目的:总结瓣膜置换术围手术期处理的临床经验。方法:回顾性分析62例瓣膜置换术病人围手术期处理的临床资料。结果:发生围手术期并发症共30例,其中发生低心排血量综合征4例、发生心律失常19例。长期存活60例;死于多器官功能衰竭1例;死于其他疾病1例。结论:对于心脏瓣膜置换术必须加强术前准备,以提高病人手术的安全性;术中良好的心肌保护和熟练的手术技巧直接关系到手术的成败;围手术期内应及时纠正心律失常,严密监护,积极防治低心排综合征。

关 键 词:心脏瓣膜  围手术期  瓣膜置换
文章编号:1002-0217(2007)03-0179-02
修稿时间:2006-12-27

Experience of perioperation treatment in 62 cases of cardiac valve replacement
XU Dong,YANG Xiao-long,DING Bo-ying,REN Gang,GONG Rong-fu,LIU Feng. Experience of perioperation treatment in 62 cases of cardiac valve replacement[J]. Acta Academiae Medicinae Wannan, 2007, 26(3): 179-180
Authors:XU Dong  YANG Xiao-long  DING Bo-ying  REN Gang  GONG Rong-fu  LIU Feng
Affiliation:Department of Cardiothoracic Surgery, Yijishan Hospital, Wannan Medical University, Wuhu 241001, China
Abstract:Objective:To make a summary of the experience in treating cardiac valve replacement during the perioperation.Methods: The data of 62 cases undergone cardiac valve replacement were gathered for the study.Results: Complications occurred in 30 cases,among which 4 cases complicated with low cardiac output and 19 cases with arrhythmia.60 survived from 62,but one case of death resulted from multiple organ failure and another one from unknown cause.Conclusion: It is important to prevent perioperative arrhythmogenesis and episode of low cardiac output.
Keywords:heart valve  perioperation  cardiac valve replacement
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