心脏手术合并肺静脉高压术后近期疗效分析

目的探讨影响心脏手术合并肺静脉高压（pulmonary venous hypertension，PVH）近期疗效果重要因素。方法对153例住院治疗的心脏手术同时合并肺静脉高压的患者的可能导致术后近期死亡的影响因素进行回顾性分析。结果153例中，早期死亡5例，病死率3．27％。术前心功能分级和手术时间对肺静脉高压患者术后近期死亡的影响差异有统计学意义（P〈0．05），且均是影响患者术后近期死亡的危险因素。结论术前心功能分级和手术时间是肺静脉高压患者心脏外科手术术后近期死亡的危险因素.

Multivariate Analysis on Factors Influencing Short-term Outcome ul' Cardiac Surgery in Patients with Pulmonary Vetams Hypertension

Objective To investigate the risk factors that influence the short- term outcome of cardiac surgery in patients with pulmonary venous hypertension（PVH）. Methods 153 cases of PVH undergoing cardiac surgery were selected,and the risk factors that may lead to postoperative death were analyzed by regressive multivariate analysis respectively. Results 5 cases （3.27%） died in the early stage. The preoperative cardiac function classification and operation occasion influenced the mortality rate obviously （ P 〈 0.05）, and were both the risk factors that may lead to postoperative death. Conclusion Preoperative cardiac function classification and operation occasion are the main risk factors leading to early death of PVH patients undergoing cardiac surgery.