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三尖瓣替换术及其早期死亡原因探讨
引用本文:刘明辉,朱朗标,余翼飞,王冬青,李功宋,苏鸿熙. 三尖瓣替换术及其早期死亡原因探讨[J]. 中国循环杂志, 1995, 0(12)
作者姓名:刘明辉  朱朗标  余翼飞  王冬青  李功宋  苏鸿熙
作者单位:中国人民解放军总医院心脏外科
摘    要:三尖瓣替换术,由于其手术死亡率高,一般只有在三尖瓣成形术无法成功的情况下才予施行。我院自1986年1月至1994年10月,连续进行了700例心脏瓣膜替换术,其中17例(2.43%)患者接受了三尖瓣替换术。17例中12例为风湿性心脏病患者,4例为Ebstein畸形,余1例为右房恶性间皮瘤。本组术后早期死亡5例(29.4%),死亡原因主要是术后广泛渗血、严重低心输出量综合征、急性肾功能衰竭和恶性心律失常。

关 键 词:三尖瓣替换术,风湿性心脏病,手术死亡率

TRICUSPID VALVE REPLACEMENT AND FAC TORS INFLUENCING EARLY DEATH
Liu Ming-Hui, Zhu Lang-Biao, Yu Yi-Fei,et al.. TRICUSPID VALVE REPLACEMENT AND FAC TORS INFLUENCING EARLY DEATH[J]. Chinese Circulation Journal, 1995, 0(12)
Authors:Liu Ming-Hui   Zhu Lang-Biao   Yu Yi-Fei  et al.
Affiliation:Liu Ming-Hui, Zhu Lang-Biao, Yu Yi-Fei, et al.
Abstract:Tricuspid valve replacement carries a risk of high mortality. so its application is limited to a few cardiac valvular patients who are not indicated for tricuspid valve annuloplasty. From Jan. 1986 through Oct. 1994,700 patients underwent valve replacement procedures in our hospital, 17 of them(12 with rheumatic heart disease , 4 with Ebstein anomaly and 1 with right atrial malignant mesothelioma) had procedures including tricuspid valve replacement(2. 43/00 ). 5 cases(29. 4 /00 ) died within one month after surgery. Our data demonstrated that the main causes of early death in the patients after tricuspid valve replacement were extensive hemorrhage,severe low cardiac output syndrome, acute renal failure and ventricular arrhythmia.
Keywords:Tricuspid valve replacement  Rheumatic heart disease  Operation mortality  
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