重症瓣膜病的外科治疗

目的总结重症瓣膜病的外科手术治疗经验。方法对163例重症心脏瓣膜病患者外科手术治疗的临床资料进行回顾性分析。结果术后早期死亡8例，死亡率4．9％；发生并发症27例，并发症发生率16．6％。术后随访心胸比（CT）、左室舒张末期前后径（LVD）、左房收缩末期前后径（LAS）均较前缩小，心功能较前明显改善。结论充分的术前准备、良好的心肌保护、保留二尖瓣装置、彻底纠正三尖瓣反流及严密的术后监护是提高手术疗效的关键。

Surgical treatment of severe valve disease

Objective To summary the experiences of surgical operation for severe valvular disease. Methods The clinical data in 163 cases of severe heart valve disease underwent surgical operation treatment were retrospectively reviewed. Results Early postoperative death in 8 cases, mortality was 4.9%, 27 cases had compli- cations, the incidence of complications was 16.6%. Postoperative follow-up of cardiothoracic ratio （C.T）, left ven- trlcular end diastolic diameter （LVD）, left atrial systolic diameter （LAS） were decreased, the postoperative car- diac function significantly improved. Conclusion Sufficient preoperative preparation, good myocardial protection, preservation of mitral apparatus, thoroughly corrected three tricuspid regurgitation and strict postoperative care are the key to improve the effect of operation.