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鲁登巴赫综合征的外科治疗
引用本文:郭盛,阿依别克,张总刚,刘筠. 鲁登巴赫综合征的外科治疗[J]. 中国心血管病研究杂志, 2011, 9(5): 340-342
作者姓名:郭盛  阿依别克  张总刚  刘筠
作者单位:新疆维吾尔自治区人民医院心脏外科,乌鲁木齐市,830001
摘    要:目的总结鲁登巴赫综合征外科治疗经验。方法总结经外科治疗的12例鲁登巴赫综合征患者的临床资料。结果围术期无死亡。12例随访33-60个月,心功能恢复为I级3例、Ⅱ级4例。结论鲁登巴赫综合征应及早手术治疗,修补房间隔缺损同时有效解除二尖瓣狭窄,加强围术期处理,防治肺动脉高压危象和左心室功能衰竭是手术成功的关键。

关 键 词:鲁登巴赫综合征  房间隔缺损  二尖瓣狭窄  肺动脉高压  左心室功能衰竭

Surgical treatment of Lutembacher's syndrome
Affiliation:GUO Sheng, A Yi-bieke, ZHANG Zong-gang, et al. Department of Cardiac Surgery, the People's Hospital of Xinjiang Uygur Autonomous Region,Wulumuqi 830001 ,China
Abstract:Objective To review the experience of surgical treatment of Lulembacher syndrome. Methods The data of 12 cases with Lutembacher's syndrome who underwent surgical treatment were studied. Results No death occurred in all eases, the results of 3-6 months follow-up showed that the heart function were grade I in 3 cases and grade 11 in 4 cases. Conclusion Lutenbacher's syndrome needs early surgical intervention. Repairing atrial septal defect, management mitral stenosis, treatment of perioperative period, prevention from pulmonary hypertension crisis and left ventricular failure are the keys for success surgery.
Keywords:Lutembacher' s syndrome  Atrial septal defect  Mitral stenosis  Pulmonary hypertension  Left ventricular failure
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