| 重症心脏双瓣膜置换术26例治疗体会 |
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| 引用本文： | 林益民,张奕,朱元佑,陈定柱,刘进平,沈斐敏. 重症心脏双瓣膜置换术26例治疗体会[J]. 海南医学院学报, 2011, 17(2): 226-228 |
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| 作者姓名： | 林益民 张奕 朱元佑 陈定柱 刘进平 沈斐敏 |
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| 作者单位： | 福建医科大学附属漳州市医院胸外科,福建,漳州,363000 |
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| 基金项目： | 海南医学院科研基金学报项目 |
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| 摘 要： | 目的:总结重症心脏双瓣膜置换术的临床治疗经验,分析术后主要并发症的诱因.方法:回顾性分析26例重症心脏双瓣膜置换术患者的临床资料.结果:围手术期并发症死亡2例(7.7%),其中肾功能衰竭死亡1例,严重心律失常并多器官功能衰竭死亡1例.2例患者术前心功能Ⅲ～Ⅳ级,心胸比≥0.80,左心室舒张末内径(LVEDD)≥80 m...
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| 关 键 词： | 心脏瓣膜病 重症 瓣膜置换术 并发症 |
Double valve replacement for severe valvular heart disease |
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| LIN Yi-min,ZHANG Yi,ZHU Yuan-you,CHEN Ding-zhu,LIU Jin-ping,SHEN Fei-min. Double valve replacement for severe valvular heart disease[J]. Journal of Hainan Medical College, 2011, 17(2): 226-228 |
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| Authors: | LIN Yi-min ZHANG Yi ZHU Yuan-you CHEN Ding-zhu LIU Jin-ping SHEN Fei-min |
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| Affiliation: | (Department of chest surgery,Affiliated Hospital to Fujian Medical University,Zhangzhou 363000,China) |
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| Abstract: | Objective：To summarize the clinical experience of double valve replacement and analyze main cause for complication.Methods： Clinical data of 26 cases with severe valvular heart disease was retrospectively analyzed.Results： Two died of perioperative complication（7.7%）,including 1 with renal failure and 1 with arrhythmia and multiple organ failure.Two cases had heart function at Ⅲ-Ⅳ stage,the cardiothoracic ratio ≥0.80,left ventricular end diastole diameter（LVEDD） ≥80 mm,and longer time of heart block and of extraeorporeal circulation. Conclusions： The occurrence of complication is associated with heart function before surgery, cardiothoracie ratio, heart block time during surgery and time of extra- corporeal circulation. Improvement of heart function before surgery, myocardial preservation, reasonable operative mode and perioperative monitoring are important. |
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| Keywords: | Valvular heart disease； Severe Valve replacement； Complication； |
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